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Abstract: Biliary cystadenoma is a rare cystic tumour of the liver that can be difficult to differentiate from other types of benign hepatic cysts. We report the case of a 32-year-old woman who presented with obstructive jaundice due to a large cystic lesion of the left hepatic lobe. Resection of the mass revealed a mucinous cystadenoma with protrusion of a pedunculated extension into the left hepatic duct and the common bile duct. We describe the clinical features, the radiological findings, the surgical management and the pathology of this rare entity. [Copyright &y& Elsevier]

Abstract: The review summarises the contributions of chemotherapy, interventional radiology and surgery to the improved survival observed in patients with colorectal liver metastases. The rationale in favour of modern neoadjuvant chemotherapy regimens, of pro-generative manoeuvres to increase the volume of the future remnant liver, and of resection techniques that preserve its function is discussed. For advanced synchronous colorectal metastases, the arguments in favour of a reversed approach with systemic chemotherapy, liver surgery and colon surgery in that order, as opposed to the traditional approach of colon surgery first, or to a simultaneous liver and large bowel resection, are presented. [Copyright &y& Elsevier]

Aim: To evaluate the diagnosis and presentation of liver tumours in patients with congenital portosystemic shunts (CPS). Materials and methods: Eight patients were diagnosed in Hôpital Beaujon as having CPS. All patients underwent Doppler ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and histological examination of liver tumours. CPS were classified according to anatomy and the amount of portal flow deviated to the systemic circulation as: total, subtotal, or partial. Liver tumours were diagnosed by needle core biopsy (n = 5) or surgery (n = 3). Clinical follow-up was available in all patients but one (mean follow-up 36 months; range 1–5 years). Results: Six patients had total CPS, one patient had a subtotal CPS, and the last had a partial CPS. All patients presented with multiple liver nodules (range four to >15). The tumours were characterized as focal nodular hyperplasia (FNH; n = 4), FNH with hepatocellular adenoma (n = 2), and regenerative nodular hyperplasia (n = 2). In four of seven patients (57%) that had follow-up, tumours showed enlargement or new lesions appeared. Conclusion: In this series of CPS patients, tumours were all benign, multiple, and of hepatocellular origin, and different tumours were present simultaneously in two patients. Tumour enlargement or new nodules were common during follow-up. [ABSTRACT FROM AUTHOR]