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 <5% of all hepatic cysts. Distinguishing between SHCs and MCN-L is challenging...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2022/4829153 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565467220279296 |
|---|---|
| author | Hideki Kumagai Akira Umemura Hiroyuki Nitta Hirokatsu Katagiri Shoji Kanno Daiki Takeda Satoshi Amano Koji Kikuchi Kiyoharu Takashimizu Masao Nishiya Noriyuki Uesugi Tamotsu Sugai Akira Sasaki |
| author_facet | Hideki Kumagai Akira Umemura Hiroyuki Nitta Hirokatsu Katagiri Shoji Kanno Daiki Takeda Satoshi Amano Koji Kikuchi Kiyoharu Takashimizu Masao Nishiya Noriyuki Uesugi Tamotsu Sugai Akira Sasaki |
| author_sort | Hideki Kumagai |
| collection | DOAJ |
| 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 <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. |
| format | Article |
| id | doaj-art-b3c6b1c3b78e48aeb0fb8c01ff3da45e |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-b3c6b1c3b78e48aeb0fb8c01ff3da45e2025-02-03T01:07:35ZengWileyCase Reports in Surgery2090-69192022-01-01202210.1155/2022/4829153Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic DeroofingHideki Kumagai0Akira Umemura1Hiroyuki Nitta2Hirokatsu Katagiri3Shoji Kanno4Daiki Takeda5Satoshi Amano6Koji Kikuchi7Kiyoharu Takashimizu8Masao Nishiya9Noriyuki Uesugi10Tamotsu Sugai11Akira Sasaki12Department of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of Molecular Diagnostic PathologyDepartment of Molecular Diagnostic PathologyDepartment of Molecular Diagnostic PathologyDepartment of SurgeryBackground. 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 <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.http://dx.doi.org/10.1155/2022/4829153 |
| spellingShingle | Hideki Kumagai Akira Umemura Hiroyuki Nitta Hirokatsu Katagiri Shoji Kanno Daiki Takeda Satoshi Amano Koji Kikuchi Kiyoharu Takashimizu Masao Nishiya Noriyuki Uesugi Tamotsu Sugai Akira Sasaki Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing Case Reports in Surgery |
| title | Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing |
| title_full | Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing |
| title_fullStr | Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing |
| title_full_unstemmed | Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing |
| title_short | Pure Laparoscopic Left Hepatectomy for Regrowth of Mucinous Cystic Neoplasm of the Liver after Laparoscopic Deroofing |
| title_sort | pure laparoscopic left hepatectomy for regrowth of mucinous cystic neoplasm of the liver after laparoscopic deroofing |
| url | http://dx.doi.org/10.1155/2022/4829153 |
| work_keys_str_mv | AT hidekikumagai purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT akiraumemura purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT hiroyukinitta purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT hirokatsukatagiri purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT shojikanno purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT daikitakeda purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT satoshiamano purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT kojikikuchi purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT kiyoharutakashimizu purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT masaonishiya purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT noriyukiuesugi purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT tamotsusugai purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing AT akirasasaki purelaparoscopiclefthepatectomyforregrowthofmucinouscysticneoplasmoftheliverafterlaparoscopicderoofing |