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Biliary Cystadenoma/Carcinoma
Keegan Hovis, MD; Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Hepatobiliary cystadenoma/carcinoma, biliary cystic tumor, biliary cystic neoplasm
            • Mucinous cystic neoplasm of liver
          • Definitions

            • Rare premalignant or malignant, unilocular or multilocular cystic tumor arising from biliary epithelium 

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Arnaoutakis DJ et al: Management of Biliary Cystic Tumors: A Multi-institutional Analysis of a Rare Liver Tumor. Ann Surg. ePub, 2014
                                        2. Chen YW et al: Surgical management of biliary cystadenoma and cystadenocarcinoma of the liver. Genet Mol Res. 13(3):6383-90, 2014
                                        3. Cogley JR et al: MR imaging of benign focal liver lesions. Radiol Clin North Am. 52(4):657-82, 2014
                                        4. Soares KC et al: Cystic neoplasms of the liver: biliary cystadenoma and cystadenocarcinoma. J Am Coll Surg. 218(1):119-28, 2014
                                        5. Bakoyiannis A et al: Rare cystic liver lesions: a diagnostic and managing challenge. World J Gastroenterol. 19(43):7603-19, 2013
                                        6. Lantinga MA et al: Evaluation of hepatic cystic lesions. World J Gastroenterol. 19(23):3543-54, 2013
                                        7. Macedo FI: Current management of noninfectious hepatic cystic lesions: A review of the literature. World J Hepatol. 5(9):462-9, 2013
                                        8. Qian LJ et al: Spectrum of multilocular cystic hepatic lesions: CT and MR imaging findings with pathologic correlation. Radiographics. 33(5):1419-33, 2013
                                        9. Xu HX et al: Imaging features of intrahepatic biliary cystadenoma and cystadenocarcinoma on B-mode and contrast-enhanced ultrasound. Ultraschall Med. 33(7):E241-9, 2012
                                        10. Emre A et al: Intrahepatic biliary cystic neoplasms: Surgical results of 9 patients and literature review. World J Gastroenterol. 17(3):361-5, 2011
                                        11. Choi HK et al: Differential diagnosis for intrahepatic biliary cystadenoma and hepatic simple cyst: significance of cystic fluid analysis and radiologic findings. J Clin Gastroenterol. 44(4):289-93, 2010
                                        12. Seo JK et al: Appropriate diagnosis of biliary cystic tumors: comparison with atypical hepatic simple cysts. Eur J Gastroenterol Hepatol. 22(8):989-96, 2010
                                        13. Lam MM et al: Ovarian-type stroma in hepatobiliary cystadenomas and pancreatic mucinous cystic neoplasms: an immunohistochemical study. Am J Clin Pathol. 129(2):211-8, 2008
                                        14. Pojchamarnwiputh S et al: Computed tomography of biliary cystadenoma and biliary cystadenocarcinoma. Singapore Med J. 49(5):392-6, 2008
                                        15. Abdul-Al HM et al: Expression of estrogen and progesterone receptors and inhibin-alpha in hepatobiliary cystadenoma: an immunohistochemical study. Virchows Arch. 450(6):691-7, 2007
                                        16. Lewin M et al: Assessment of MRI and MRCP in diagnosis of biliary cystadenoma and cystadenocarcinoma. Eur Radiol. 16(2):407-13, 2006
                                        17. Mortelé KJ et al: Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics. 21(4):895-910, 2001
                                        18. Teoh AY et al: Biliary cystadenoma and other complicated cystic lesions of the liver: diagnostic and therapeutic challenges. World J Surg. 30(8):1560-6, 2006
                                        19. Buetow PC et al: Biliary cystadenoma and cystadenocarcinoma: clinical-imaging-pathologic correlations with emphasis on the importance of ovarian stroma. Radiology. 196(3):805-10, 1995
                                        20. Devaney K, Goodman ZD, Ishak KG. Hepatobiliary cystadenoma and cystadenocarcinoma. A light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 18:1078, 1994.
                                        21. Korobkin M et al: Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR Am J Roentgenol. 153(3):507-11, 1989
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Hepatobiliary cystadenoma/carcinoma, biliary cystic tumor, biliary cystic neoplasm
                                                  • Mucinous cystic neoplasm of liver
                                                • Definitions

                                                  • Rare premalignant or malignant, unilocular or multilocular cystic tumor arising from biliary epithelium 

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Arnaoutakis DJ et al: Management of Biliary Cystic Tumors: A Multi-institutional Analysis of a Rare Liver Tumor. Ann Surg. ePub, 2014
                                                                              2. Chen YW et al: Surgical management of biliary cystadenoma and cystadenocarcinoma of the liver. Genet Mol Res. 13(3):6383-90, 2014
                                                                              3. Cogley JR et al: MR imaging of benign focal liver lesions. Radiol Clin North Am. 52(4):657-82, 2014
                                                                              4. Soares KC et al: Cystic neoplasms of the liver: biliary cystadenoma and cystadenocarcinoma. J Am Coll Surg. 218(1):119-28, 2014
                                                                              5. Bakoyiannis A et al: Rare cystic liver lesions: a diagnostic and managing challenge. World J Gastroenterol. 19(43):7603-19, 2013
                                                                              6. Lantinga MA et al: Evaluation of hepatic cystic lesions. World J Gastroenterol. 19(23):3543-54, 2013
                                                                              7. Macedo FI: Current management of noninfectious hepatic cystic lesions: A review of the literature. World J Hepatol. 5(9):462-9, 2013
                                                                              8. Qian LJ et al: Spectrum of multilocular cystic hepatic lesions: CT and MR imaging findings with pathologic correlation. Radiographics. 33(5):1419-33, 2013
                                                                              9. Xu HX et al: Imaging features of intrahepatic biliary cystadenoma and cystadenocarcinoma on B-mode and contrast-enhanced ultrasound. Ultraschall Med. 33(7):E241-9, 2012
                                                                              10. Emre A et al: Intrahepatic biliary cystic neoplasms: Surgical results of 9 patients and literature review. World J Gastroenterol. 17(3):361-5, 2011
                                                                              11. Choi HK et al: Differential diagnosis for intrahepatic biliary cystadenoma and hepatic simple cyst: significance of cystic fluid analysis and radiologic findings. J Clin Gastroenterol. 44(4):289-93, 2010
                                                                              12. Seo JK et al: Appropriate diagnosis of biliary cystic tumors: comparison with atypical hepatic simple cysts. Eur J Gastroenterol Hepatol. 22(8):989-96, 2010
                                                                              13. Lam MM et al: Ovarian-type stroma in hepatobiliary cystadenomas and pancreatic mucinous cystic neoplasms: an immunohistochemical study. Am J Clin Pathol. 129(2):211-8, 2008
                                                                              14. Pojchamarnwiputh S et al: Computed tomography of biliary cystadenoma and biliary cystadenocarcinoma. Singapore Med J. 49(5):392-6, 2008
                                                                              15. Abdul-Al HM et al: Expression of estrogen and progesterone receptors and inhibin-alpha in hepatobiliary cystadenoma: an immunohistochemical study. Virchows Arch. 450(6):691-7, 2007
                                                                              16. Lewin M et al: Assessment of MRI and MRCP in diagnosis of biliary cystadenoma and cystadenocarcinoma. Eur Radiol. 16(2):407-13, 2006
                                                                              17. Mortelé KJ et al: Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics. 21(4):895-910, 2001
                                                                              18. Teoh AY et al: Biliary cystadenoma and other complicated cystic lesions of the liver: diagnostic and therapeutic challenges. World J Surg. 30(8):1560-6, 2006
                                                                              19. Buetow PC et al: Biliary cystadenoma and cystadenocarcinoma: clinical-imaging-pathologic correlations with emphasis on the importance of ovarian stroma. Radiology. 196(3):805-10, 1995
                                                                              20. Devaney K, Goodman ZD, Ishak KG. Hepatobiliary cystadenoma and cystadenocarcinoma. A light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 18:1078, 1994.
                                                                              21. Korobkin M et al: Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR Am J Roentgenol. 153(3):507-11, 1989