BACKGROUND: Although cystic colorectal metastases are rare (1.8%), they are still a crucial challenge for the surgeon especially in terms of detection and differential diagnosis. Since prognosis after resection is very good (40% 5-year survival), early diagnosis is essential. CASE REPORT: A 55-year-old man was admitted to our hospital with a suspected diagnosis of multiple small liver metastases. He had previously undergone left sided-cholectomy followed by chemotherapy for colonic carcinoma. Computed tomography (CT) revealed multiple small (<15 mm) intrahepatic biliary cysts, suspected for cystic colorectal liver metastases. CONCLUSION: The diagnosis of cystic colorectal liver metastases is quite difficult and it is mostly based on the last-generation magnetic resonance (MR). In spite of this, we must often rely on histological results for a definitive diagnosis.
Small colorectal cystic metastases to the liver : still a diagnostic dilemma? A report of a case and a review of the literature / D. Papis, M. Barabino, G. Petralia, A. Cadeo, E. Opocher. - In: UPDATES IN SURGERY. - ISSN 2038-131X. - 64:4(2012 Dec), pp. 297-300.
|Titolo:||Small colorectal cystic metastases to the liver : still a diagnostic dilemma? A report of a case and a review of the literature|
PAPIS, DAVIDE (Primo)
CADEO, ALESSANDRO (Penultimo)
OPOCHER, ENRICO (Ultimo)
|Parole Chiave:||CT; cystic colorectal liver metastases; intraoperative US; MR|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||dic-2012|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s13304-011-0115-2|
|Appare nelle tipologie:||01 - Articolo su periodico|