An Unusual Combination of Biliary Cystadenoma and Renal Angiomyolipoma- A Case Report
Published: May 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7813
Sheeja Sainulabdeen, Renu Thambi, Sylvia Syriac, Anil Kumar
1. Assistant Professor, Department of Pathology, Government Medical College, Kottayam, Kerala, India.
2. Assistant Professor, Department of Pathology, Government Medical College, Kottayam, Kerala, India.
3. Junior Resident, Department of Pathology, Government Medical College, Kottayam, Kerala, India.
4. Additional Professor, Department of Surgery, Government Medical College, Kottayam, Kerala, India.
Correspondence
Dr. Sheeja Sainulabdeen,
Valiyachenkilathu House, Gandhinagar P.O, Kottayam, Kerala, India.
E-mail: drsheejas@yahoo.com
Hepatobiliary cystadenomas are mucinous cystic neoplasms arising in the liver, extrahepatic bile ducts or gall bladder. Extrahepatic cystadenomas are rare neoplasms requiring complete excision as there is a chance for recurrence and malignant transformation. Angiomyolipoma (AML) belongs to the perivascular epithelioid cell group of neoplasms, and kidney is the commonest site involved.We report a case of an unusual combination of extrahepatic biliary cystadenoma with angiomyolipoma in an adult female without evidence of tuberous sclerosis. The patient presented with abdominal discomfort and on ultrasonological examination showed a cyst close to liver suggestive of hydatid disease and an incidental mass in kidney which was diagnosed as angiomyolipoma. Histopathological examination revealed biliary cystadenoma of liver and renal angiomyolipoma. Clinical and radiological evaluation did not show any manifestations of tuberous sclerosis. Such an unusual incidence of two separate neoplasms in a patient without syndromic association was not obtained even after extensive literature search.
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