Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing

Background. Hepatic cystic lesions are common entities, most of which are simple hepatic cysts (SHCs). Mucinous cystic neoplasm of the liver (MCN-L) is a rare tumor characterized by ovarian-like stroma and accounts for

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Published in:Case reports in surgery 2022-06, Vol.2022, p.1-6
Main Authors: Kumagai, Hideki, Umemura, Akira, Nitta, Hiroyuki, Katagiri, Hirokatsu, Kanno, Shoji, Takeda, Daiki, Amano, Satoshi, Kikuchi, Koji, Takashimizu, Kiyoharu, Nishiya, Masao, Uesugi, Noriyuki, Sugai, Tamotsu, Sasaki, Akira
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Language:English
Subjects:
Antigens
Bile ducts
Case Report
Case reports
Clinical medicine
Computed tomography
CT imaging
Cysts
Diagnosis
Hepatectomy
Laparoscopic surgery
Laparoscopy
Lesions
Liver
Liver cancer
Magnetic resonance imaging
Medical imaging
Ovaries
Pain
Regrowth
Stroma
Surgery
Tomography
Tumors
Veins & arteries
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container_title Case reports in surgery
container_volume 2022
creator Kumagai, Hideki
Umemura, Akira
Nitta, Hiroyuki
Katagiri, Hirokatsu
Kanno, Shoji
Takeda, Daiki
Amano, Satoshi
Kikuchi, Koji
Takashimizu, Kiyoharu
Nishiya, Masao
Uesugi, Noriyuki
Sugai, Tamotsu
Sasaki, Akira
description Background. Hepatic cystic lesions are common entities, most of which are simple hepatic cysts (SHCs). Mucinous cystic neoplasm of the liver (MCN-L) is a rare tumor characterized by ovarian-like stroma and accounts for
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Hepatic cystic lesions are common entities, most of which are simple hepatic cysts (SHCs). Mucinous cystic neoplasm of the liver (MCN-L) is a rare tumor characterized by ovarian-like stroma and accounts for &lt;5% of all hepatic cysts. Distinguishing between SHCs and MCN-L is challenging because of the similarity in their imaging findings. Herein, we report a rare regrowth case of MCN-L after laparoscopic deroofing, treated with pure laparoscopic left hepatectomy. Case Presentation. A 63-year-old woman with a large hepatic cystic lesion and abdominal pain was referred to our hospital for surgical treatment. Computed tomography (CT) showed cystic lesions with septations arising from macrolobulations in the left medial segment. She underwent laparoscopic deroofing based on the diagnosis of SHCs; however, the final histopathological diagnosis was MCN-L. She chose observational follow-up, and MCN-L regrowth was detected on follow-up CT 6 months after the laparoscopic deroofing. We performed pure laparoscopic left hepatectomy for complete resection of the MCN-L. She had an uneventful postoperative course and no recurrence at the 5-year follow-up after the radical resection of the MCN-L. Conclusion. MCN-L is a rare entity, and accurate diagnosis with imaging modalities is greatly challenging. Laparoscopic hepatectomy for MCN-L should be considered as a strong alternative to secure safety and curability.</description><identifier>ISSN: 2090-6900</identifier><identifier>EISSN: 2090-6919</identifier><identifier>DOI: 10.1155/2022/4829153</identifier><identifier>PMID: 35813000</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Antigens ; Bile ducts ; Case Report ; Case reports ; Clinical medicine ; Computed tomography ; CT imaging ; Cysts ; Diagnosis ; Hepatectomy ; Laparoscopic surgery ; Laparoscopy ; Lesions ; Liver ; Liver cancer ; Magnetic resonance imaging ; Medical imaging ; Ovaries ; Pain ; Regrowth ; Stroma ; Surgery ; Tomography ; Tumors ; Veins &amp; arteries</subject><ispartof>Case reports in surgery, 2022-06, Vol.2022, p.1-6</ispartof><rights>Copyright © 2022 Hideki Kumagai et al.</rights><rights>COPYRIGHT 2022 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2022 Hideki Kumagai et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Hideki Kumagai et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c450t-ff74b9898551e76771454298a6ee94ee686677813bbe1dc836366d200fd55cf13</cites><orcidid>0000-0003-4181-7159 ; 0000-0001-5374-9080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2687537699/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2687537699?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793,75126</link.rule.ids></links><search><contributor>De Nardi, Paola</contributor><contributor>Paola De Nardi</contributor><creatorcontrib>Kumagai, Hideki</creatorcontrib><creatorcontrib>Umemura, Akira</creatorcontrib><creatorcontrib>Nitta, Hiroyuki</creatorcontrib><creatorcontrib>Katagiri, Hirokatsu</creatorcontrib><creatorcontrib>Kanno, Shoji</creatorcontrib><creatorcontrib>Takeda, Daiki</creatorcontrib><creatorcontrib>Amano, Satoshi</creatorcontrib><creatorcontrib>Kikuchi, Koji</creatorcontrib><creatorcontrib>Takashimizu, Kiyoharu</creatorcontrib><creatorcontrib>Nishiya, Masao</creatorcontrib><creatorcontrib>Uesugi, Noriyuki</creatorcontrib><creatorcontrib>Sugai, Tamotsu</creatorcontrib><creatorcontrib>Sasaki, Akira</creatorcontrib><title>Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing</title><title>Case reports in surgery</title><description>Background. Hepatic cystic lesions are common entities, most of which are simple hepatic cysts (SHCs). Mucinous cystic neoplasm of the liver (MCN-L) is a rare tumor characterized by ovarian-like stroma and accounts for &lt;5% of all hepatic cysts. Distinguishing between SHCs and MCN-L is challenging because of the similarity in their imaging findings. Herein, we report a rare regrowth case of MCN-L after laparoscopic deroofing, treated with pure laparoscopic left hepatectomy. Case Presentation. A 63-year-old woman with a large hepatic cystic lesion and abdominal pain was referred to our hospital for surgical treatment. Computed tomography (CT) showed cystic lesions with septations arising from macrolobulations in the left medial segment. She underwent laparoscopic deroofing based on the diagnosis of SHCs; however, the final histopathological diagnosis was MCN-L. She chose observational follow-up, and MCN-L regrowth was detected on follow-up CT 6 months after the laparoscopic deroofing. We performed pure laparoscopic left hepatectomy for complete resection of the MCN-L. She had an uneventful postoperative course and no recurrence at the 5-year follow-up after the radical resection of the MCN-L. Conclusion. MCN-L is a rare entity, and accurate diagnosis with imaging modalities is greatly challenging. 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Hepatic cystic lesions are common entities, most of which are simple hepatic cysts (SHCs). Mucinous cystic neoplasm of the liver (MCN-L) is a rare tumor characterized by ovarian-like stroma and accounts for &lt;5% of all hepatic cysts. Distinguishing between SHCs and MCN-L is challenging because of the similarity in their imaging findings. Herein, we report a rare regrowth case of MCN-L after laparoscopic deroofing, treated with pure laparoscopic left hepatectomy. Case Presentation. A 63-year-old woman with a large hepatic cystic lesion and abdominal pain was referred to our hospital for surgical treatment. Computed tomography (CT) showed cystic lesions with septations arising from macrolobulations in the left medial segment. She underwent laparoscopic deroofing based on the diagnosis of SHCs; however, the final histopathological diagnosis was MCN-L. She chose observational follow-up, and MCN-L regrowth was detected on follow-up CT 6 months after the laparoscopic deroofing. We performed pure laparoscopic left hepatectomy for complete resection of the MCN-L. She had an uneventful postoperative course and no recurrence at the 5-year follow-up after the radical resection of the MCN-L. Conclusion. MCN-L is a rare entity, and accurate diagnosis with imaging modalities is greatly challenging. Laparoscopic hepatectomy for MCN-L should be considered as a strong alternative to secure safety and curability.</abstract><cop>New York</cop><pub>Hindawi</pub><pmid>35813000</pmid><doi>10.1155/2022/4829153</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4181-7159</orcidid><orcidid>https://orcid.org/0000-0001-5374-9080</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antigens
Bile ducts
Case Report
Case reports
Clinical medicine
Computed tomography
CT imaging
Cysts
Diagnosis
Hepatectomy
Laparoscopic surgery
Laparoscopy
Lesions
Liver
Liver cancer
Magnetic resonance imaging
Medical imaging
Ovaries
Pain
Regrowth
Stroma
Surgery
Tomography
Tumors
Veins & arteries
title Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing
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