Cystic hepatic metastases arising from lung cancer are rare. We herein describe a case of a 71-year-old women admitted to our hospital for abdominal pain 6 months after the resection of a lung adenocarcinoma. Two cystic lesions of the liver were discovered at abdominal ultrasonography and computerized tomography scan. An ERCP excluded a biliary adenoma or adenocarcinoma, and an ultrasound-guided liver biopsy was negative for malignant cells. For persistence of symptoms and lack of a diagnosis, the patient underwent an exploratory laparotomy, a surgical biopsy with a diagnosis of adenocarcinoma, and a consequent right hepatectomy. After 2 years of follow-up, the patient is well and disease free. Although cystic liver metastasis are rare and a differential diagnosis difficult, the malignant nature should always be considered in the differential diagnosis of hepatic cysts to offer the patient the best treatment.

Romano, F., Porta, A., Caprotti, R., Uggeri, F., Conti, M., Uggeri, F. (2004). Cystic liver metastases from lung adenocarcinoma: a case report. TUMORI, 90(5), 525-527 [10.1177/030089160409000518].

Cystic liver metastases from lung adenocarcinoma: a case report

ROMANO, FABRIZIO;UGGERI, FABIO;
2004

Abstract

Cystic hepatic metastases arising from lung cancer are rare. We herein describe a case of a 71-year-old women admitted to our hospital for abdominal pain 6 months after the resection of a lung adenocarcinoma. Two cystic lesions of the liver were discovered at abdominal ultrasonography and computerized tomography scan. An ERCP excluded a biliary adenoma or adenocarcinoma, and an ultrasound-guided liver biopsy was negative for malignant cells. For persistence of symptoms and lack of a diagnosis, the patient underwent an exploratory laparotomy, a surgical biopsy with a diagnosis of adenocarcinoma, and a consequent right hepatectomy. After 2 years of follow-up, the patient is well and disease free. Although cystic liver metastasis are rare and a differential diagnosis difficult, the malignant nature should always be considered in the differential diagnosis of hepatic cysts to offer the patient the best treatment.
Articolo in rivista - Articolo scientifico
Tomography, X-Ray Computed; Angiography; Female; Hepatectomy; Hepatic Artery; Adenocarcinoma; Lung Neoplasms; Humans; Cysts; Liver Neoplasms; Radiography, Abdominal; Aged; Diagnosis, Differential
English
set-2004
90
5
525
527
none
Romano, F., Porta, A., Caprotti, R., Uggeri, F., Conti, M., Uggeri, F. (2004). Cystic liver metastases from lung adenocarcinoma: a case report. TUMORI, 90(5), 525-527 [10.1177/030089160409000518].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/13413
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