A 53-yr-old woman with a history of hepatic cystadenoma 25 yr before p
resented with a simple hepatic cyst, which evolved over 9 yr into a co
mplex cystadenoma with septations and internal bleeding, She was treat
ed with a left hepatectomy, Review of the literature shows that hepati
c cystadenomas, although rare, frequently can recur years later and ha
ve potential for malignant transformation. Histologic similarities of
one variant with ovarian stroma raises interesting possibilities regar
ding the origin of these lesions. The best treatment results are obtai
ned with radical excision. (C) 1998 by Am, Cell. of Gastroenterology.