Co-Existence of Intrahepatic Bile Duct Adenoma and Colonic Adenocarcinoma

Intrahepatic bile duct adenoma (BDA) is a rare benign tumor of the liver that is usually diagnosed by microscopic examination. Most cases are incidentally discovered during surgery or autopsy. Here, we report the co-existence of colonic adenocarcinoma and intrahepatic BDA mimicking metastasis in a 62-year-old man. The patient underwent metastasectomy because of the presence of colonic adenocarcinoma diagnosed at almost the same time. The diagnosis was benign in frozen sections intraoperatively and total colectomy was performed during the same operation. BDA should be included in the diseases to be differentiated from hepatic primary or metastatic tumors. ‹ntrahepatik Safra Duktus Adenomu ile Kolonik Adenokarsinom Birliktelii: Ozet: ‹ntrahepatik safra duktus adenomu, genellikle mikroskopik inceleme ile tan› alan, karacierin seyrek gorulen benign bir tumorudur. Cou olgu operasyon s›ras›nda ya da otopsi ile tesadufen saptan›r. Burada, 62 yafl›ndaki erkek hastada metastaz› taklit eden safra duktus adenomu ile kolonik adenokarsinom birlikteliini sunduk. Olguda ayn› zamanda kolonik adenokarsinom olmas› nedeniyle metastazektomi operasyonu yap›ld›. Frozen kesitlerle intraoperatif olarak benign tan›s› kondu, sonra ayn› operasyonda total kolektomi yap›ld›. Safra duktus adenomu, karacierin primer ya da metastatik tumorlerinin ay›r›c› tan›s›nda yer almal›d›r.