A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier
We report a rare case of resected hepatic AML, which was misdiagnosed as hepatocellular carcinoma in a chronic hepatitis B carrier. A 45-year-old woman who was a carrier of hepatitis B virus infection presented with a hepatic tumor. Her serum alpha-fetoprotein level was normal. Ultrasonography revea...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2012/606108 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850209190677577728 |
|---|---|
| author | Jin Yeon Hwang Sung Wook Lee Yang Hyun Baek Jong Han Kim Ha Yeon Kim Suck Hyang Bae Jin Han Cho Hee Jin Kwon Jin Sook Jeong Young Hoon Roh Sang Young Han |
| author_facet | Jin Yeon Hwang Sung Wook Lee Yang Hyun Baek Jong Han Kim Ha Yeon Kim Suck Hyang Bae Jin Han Cho Hee Jin Kwon Jin Sook Jeong Young Hoon Roh Sang Young Han |
| author_sort | Jin Yeon Hwang |
| collection | DOAJ |
| description | We report a rare case of resected hepatic AML, which was misdiagnosed as hepatocellular carcinoma in a chronic hepatitis B carrier. A 45-year-old woman who was a carrier of hepatitis B virus infection presented with a hepatic tumor. Her serum alpha-fetoprotein level was normal. Ultrasonography revealed a round and well-circumscribed echogenic hepatic tumor measuring 2.5 cm in the segment VI. On contrast-enhanced computed tomography, a hypervascular tumor was observed in the arterial phase and washing-out of the contrast medium in the portal phase and delayed phase. On MR T1-weighted in-phase images, the mass showed low signal intensity, and on out-of-phase images, the mass showed signal drop and dark signal intensity. On MR T2-weighted images, the mass showed high signal intensity. The mass demonstrated high signal intensity on arterial phase after contrast injection, suggestive of hepatocellular carcinoma. The patient underwent hepatic wedge resection and histopathological diagnosis was a hepatic angiomyolipoma. |
| format | Article |
| id | doaj-art-90da219b74eb48d4b06a8ac3de7cc9f0 |
| institution | OA Journals |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-90da219b74eb48d4b06a8ac3de7cc9f02025-08-20T02:10:04ZengWileyCase Reports in Hepatology2090-65872090-65952012-01-01201210.1155/2012/606108606108A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B CarrierJin Yeon Hwang0Sung Wook Lee1Yang Hyun Baek2Jong Han Kim3Ha Yeon Kim4Suck Hyang Bae5Jin Han Cho6Hee Jin Kwon7Jin Sook Jeong8Young Hoon Roh9Sang Young Han10Department of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaDepartment of Radiology, Dong-A University College of Medicine, Busan, Republic of KoreaDepartment of Radiology, Dong-A University College of Medicine, Busan, Republic of KoreaDepartment of Pathology, Dong-A University College of Medicine, Busan, Republic of KoreaDepartment of Surgery, Dong-A University College of Medicine, Busan, Republic of KoreaDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 602-715, Republic of KoreaWe report a rare case of resected hepatic AML, which was misdiagnosed as hepatocellular carcinoma in a chronic hepatitis B carrier. A 45-year-old woman who was a carrier of hepatitis B virus infection presented with a hepatic tumor. Her serum alpha-fetoprotein level was normal. Ultrasonography revealed a round and well-circumscribed echogenic hepatic tumor measuring 2.5 cm in the segment VI. On contrast-enhanced computed tomography, a hypervascular tumor was observed in the arterial phase and washing-out of the contrast medium in the portal phase and delayed phase. On MR T1-weighted in-phase images, the mass showed low signal intensity, and on out-of-phase images, the mass showed signal drop and dark signal intensity. On MR T2-weighted images, the mass showed high signal intensity. The mass demonstrated high signal intensity on arterial phase after contrast injection, suggestive of hepatocellular carcinoma. The patient underwent hepatic wedge resection and histopathological diagnosis was a hepatic angiomyolipoma.http://dx.doi.org/10.1155/2012/606108 |
| spellingShingle | Jin Yeon Hwang Sung Wook Lee Yang Hyun Baek Jong Han Kim Ha Yeon Kim Suck Hyang Bae Jin Han Cho Hee Jin Kwon Jin Sook Jeong Young Hoon Roh Sang Young Han A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier Case Reports in Hepatology |
| title | A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier |
| title_full | A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier |
| title_fullStr | A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier |
| title_full_unstemmed | A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier |
| title_short | A Case of Hepatic Angiomyolipoma Which Was Misdiagnosed as Hepatocellular Carcinoma in a Hepatitis B Carrier |
| title_sort | case of hepatic angiomyolipoma which was misdiagnosed as hepatocellular carcinoma in a hepatitis b carrier |
| url | http://dx.doi.org/10.1155/2012/606108 |
| work_keys_str_mv | AT jinyeonhwang acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT sungwooklee acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT yanghyunbaek acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jonghankim acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT hayeonkim acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT suckhyangbae acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jinhancho acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT heejinkwon acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jinsookjeong acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT younghoonroh acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT sangyounghan acaseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jinyeonhwang caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT sungwooklee caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT yanghyunbaek caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jonghankim caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT hayeonkim caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT suckhyangbae caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jinhancho caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT heejinkwon caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT jinsookjeong caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT younghoonroh caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier AT sangyounghan caseofhepaticangiomyolipomawhichwasmisdiagnosedashepatocellularcarcinomainahepatitisbcarrier |