Liver and intrahepatic bile ducts-nontumor
Polycystic liver disease
Reviewers: Komal Arora, M.D. (see Reviewers page)
Revised: 23 April 2012, last major update April 2012
Copyright: (c) 2004-2012, PathologyOutlines.com, Inc.
● Autosomal dominant, associated with autosomal dominant (but not autosomal recessive) polycystic kidney disease (71-93%) and defect in ADPKD1 gene on #16
● Cysts donít communicate with biliary tree
● 80% occur in females
● Associated with abdominal tenderness, pain with stooping; may present during pregnancy
● Cysts more common with increased age (75% at age 70+ vs. <5% in teenagers)
● 1-7% risk of adenocarcinoma if coexisting Caroliís disease; otherwise extremely rare
● Complications: infection, cholangiocarcinoma, squamous cell carcinoma
● Multiple variably sized unilocular cysts, liver rarely is massively enlarged
Massive hepatomegaly and numerous cysts with hemorrhage
Massive hepatomegaly and numerous cysts
● Multiple diffuse cystic lesions resembling solitary cysts, lined by cuboidal to flat biliary epithelium, containing straw colored fluid
● 40% have identifiable von Meyenburg complexes
● Donít contain pigmented material
Cystic lesions with von Meyenburg complexes
Cyst wall epithelium
● Gastroenterology 2011;140:1855, Aliment Pharmacol Ther 2011;34:702
End of Liver and intrahepatic bile ducts-nontumor > Developmental anomalies/cysts > Polycystic liver disease
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