Quiz of the Week
| Quiz of the Week
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ABDOMEN / Hepatobiliary 82 / F, Incidentally detected GB lesion
Number of Applicants : 35
| About Author | |
| Authors | Sang Won, Kim |
| Institution | Kyung Hee University Hospital at Gangdong |
| rad2000@daum.net | |
| About Case | |||
| Chief complaint or Title |
Incidentally detected GB lesion | ||
| Age | 82 | Sex | F |
| Difficulty | For resident, For specialist | ||
| Modality | CT | ||
| Case Figures | |||||||||
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| Questions | ||
| What’s your diagnosis? |
| Answer | |||
| Diagnosis | Mucinous cystic neoplasm (MCN) | ||
| Comments | •MCN
–Previously known as hepatobiliary cystadenoma/cystadenoca.
–Very rare in GB: first report (Simmons et al., in1989)
–Pathology
•Lining epithelium: mucin-rich columnar cells + ovarian stroma
•± atypical tumor cells
–Gross pathology & radiologic
appearances
•Multilocular cystic mass within the GB wall
•May similar to MCN in the liver, bile duct, and pancreas
•May mimic appearance of adenomyomatosis
–DDx: Adenomyomatosis (linear arrangement)
MCN (more large & multilocular appearance) |
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| References | Terada T, Takeuchi T, Taniguchi M. Hepatobiliary cystadenocarcinoma with cystadenoma elements of the gall bladder in an old man. Pathol Int. 2003 Nov;53(11):790-5. Rooney TB, Schofer JM, Stanley MD, Banks SL. Biliary cystadenoma of the gallbladder. AJR Am J Roentgenol. 2005 Dec;185(6):1571-2. | ||
| Keywords | gallbladder, mucinous cystic neoplasm (MCN) | ||
| Attachment File | - | ||
Number of Applicants : 35
| Correct Answer | 16 |
| Higashi-Ohmi General Medical Center | Akitoshi Inoue |
| KSAR | Dr K |
| 국제성모병원 | 강건우 |
| 서울의료원 | 김여은 |
| 분당차 | 김초희 |
| 중앙보훈병원 | 노지훈 |
| 분당차병원 | 박종원 |
| 서울아산병원 | 박호영 |
| 서울아산병원 | 신용문 |
| 울산시티병원 | 신진호 |
| 서울대병원 | 유정인 |
| 고대구로병원 | 이유경 |
| 서울의료원 | 이유대 |
| 중앙보훈병원 | 장성원 |
| 서울대학교병원 | 전선경 |
| 한림대학교 성심병원 | 홍원주 |