Hepatobiliary cystadenocarcinoma without ovarian stroma and normal CA 19-9 levels : Unusually prolonged evolution

Hepatobiliary cystadenoma and cystadenocarcinoma are rare tumors of the liver. The differential diagnosis of cystadenoma includes other cystic neoplasms, nonneoplastic cysts, and even on some occasions parasitic liver involvement. It has been suggested that elevated serum level of the tumor marker C...

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Bibliographic Details
Published in:Digestive diseases and sciences 1997-07, Vol.42 (7), p.1406-1408
Main Authors: HORSMANS, Y, LAKA, A, VAN BEERS, B. E, DESCAMPS, C, GIGOT, J.-F, GEUBEL, A. P
Format: Article
Language:English
Subjects:
Aged
Bile Duct Neoplasms - diagnosis
Bile Ducts, Intrahepatic - pathology
Biological and medical sciences
Biomarkers, Tumor - analysis
CA-19-9 Antigen - analysis
Cholangiocarcinoma - diagnosis
Cystadenocarcinoma - diagnosis
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Immunohistochemistry
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Time Factors
Tomography, X-Ray Computed
Tumors
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Summary:Hepatobiliary cystadenoma and cystadenocarcinoma are rare tumors of the liver. The differential diagnosis of cystadenoma includes other cystic neoplasms, nonneoplastic cysts, and even on some occasions parasitic liver involvement. It has been suggested that elevated serum level of the tumor marker CA 19-9 may be of value in distinguishing between cystadenoma with ovarian stroma and hydatid disease. We report the unique case of a male patient with a hepatobiliary cystadenocarcinoma without ovarian stroma of prolonged evolution characterized by a normal CA 19-9 serum level, low cyst fluid CA 19-9, and a very weak CA 19-9 expression on cyst epithelium.
ISSN:0163-2116
1573-2568
DOI:10.1023/a:1018842021677