肝胆管囊腺瘤7例诊治体会并文献复习

Hepatobiliary cystadenoma: a report of seven cases and literature review

目的探讨肝胆管囊腺瘤的诊断及治疗方法，提高对本病的认识。方法总结我院2004—01～2013—06收治的7例病理诊断为肝内胆管囊腺瘤的临床表现、影像学特点、外科手术治疗情况及术后病理结果，回顾性分析各诊断及治疗情况。结果7例患者均为女性，年龄42—76岁，平均62岁，影像学显示肿瘤病灶7例位于左叶，囊实性。7例病变均行手术完整切除，术后病理诊断为肝内胆管囊腺瘤。5例随访2年，未见复发、恶变。结论肝脏囊腺瘤临床多好发于中年女性，临床表现不典型，术前易误诊，PTC胆道造影结合CT及MRI检查有助于明确诊断，治疗上首选手术治疗，准确病变定位是手术切除的关键，推荐病变肝叶或肝段的完整切除。

Objective To explore the diagnosis and treatment of hepatobiliary cystadenoma （HBC） for improving the recognization of HBC. Methods Clinical data of 7 HBC patients from January 2004 to June 2013 were analyzed retrospectively, including clinical manifestation, imaging feature, surgery and pathological results. Results All patients were female with the average age of 62 years （42 -76 years）. Imaging showed cystic and solid lesion in the left hepatic lobe of 7 cases. All patients were confirmed HBC by patholo- gy after operation. Five cases had no recurrence in two years follow-up after operation. Conclusion BHC is often found in middle age female and easily misdiagnosed as other hepatic lesion before surgery. PTC cholangiography combined with CT and MRI examinations are necessary for the correct diagnosis. Accurate lesion location is important to the evaluation before operation. Complete resection of he- patic lobe is the recommended method.