Diagnostic and Therapeutic Challenges of Intrahepatic @entity9296 and XXXX : A Report of 10 Cases and Review of the Literature.

@entity1 @entity96 @entity5 @entity9296 @entity7157
The objective of this study was to present our experience with @entity9296 and @entity7157 in 10 @entity1 surgically managed in our department. Intrahepatic biliary @entity9296 and @entity7157 are @entity5 that are often misdiagnosed preoperatively as simple cysts or hydatid cysts. They recur after incomplete resection and entail a risk of malignant transformation to @entity7157 . A retrospective review was conducted of @entity1 with histologically confirmed @entity9296 and @entity7157 between August 2004 and February 2013 who were surgically managed in our department. A total of 10 @entity1 , 9 female and 1 male (mean age, 50 years), with cystic liver were reviewed. The size of the cysts ranged between 3.5 and 16 cm (mean, 10.6). Five @entity1 had undergone previous interventions elsewhere and presented with recurrences. Liver resections included 6 hepatectomies, 2 bisegmentectomies, 1 extended right hepatectomy, and 1 enucleation due to the central position and the large size of the lesion. Pathology reports confirmed R0 resections in all cases. All @entity1 were alive after a median follow-up of 6 years (range, 1-10 years), and no recurrence was detected. Intrahepatic @entity9296 and @entity7157 should be considered in differential diagnosis in @entity1 with @entity96 . Because of the high recurrence rate and difficult accurate preoperative diagnosis, formal liver resection is mandatory. Enucleation with free margins is an option and is indicated where resection is impossible.
