Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma
We report here an extremely rare case of hepatic sclerosing hemangioma mimicking a biliary cystadenocarcinoma. A previously healthy 39-year-old woman was referred to our hospital because of a large tumor in the liver. Abdominal computed tomography revealed early peripheral ring enhancement in the ar...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2018/7353170 |
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| author | Hiroyuki Sugo Yuki Sekine Shozo Miyano Ikuo Watanobe Michio Machida Kuniaki Kojima Hironao Okubo Ayako Ura Kanako Ogura Toshiharu Matsumoto |
| author_facet | Hiroyuki Sugo Yuki Sekine Shozo Miyano Ikuo Watanobe Michio Machida Kuniaki Kojima Hironao Okubo Ayako Ura Kanako Ogura Toshiharu Matsumoto |
| author_sort | Hiroyuki Sugo |
| collection | DOAJ |
| description | We report here an extremely rare case of hepatic sclerosing hemangioma mimicking a biliary cystadenocarcinoma. A previously healthy 39-year-old woman was referred to our hospital because of a large tumor in the liver. Abdominal computed tomography revealed early peripheral ring enhancement in the arterial phase and slight internal heterogeneous enhancement in the delayed phase. Magnetic resonance imaging revealed a tumor with low intensity in the T1-weighted image and very high intensity in the fat-saturated T2-weighted image. The patient underwent hepatectomy for a possible malignant liver tumor. Grossly, the tumor appeared as a white, solid, and cystic mass (weighted 1.1 kg and measured 170×100×80 mm) that was elastic, soft, and homogeneous with a yellowish area. Histological examination showed that the tumor mostly consisted of fibrotic areas with hyalinization. The typical histology of cavernous hemangioma was confirmed in part, and the tumor was diagnosed as a sclerosing hemangioma with predominancy of the sclerosed area. A review of 20 cases reported previously revealed that only 2 (10%) patients were diagnosed as having sclerosing hemangioma preoperatively. |
| format | Article |
| id | doaj-art-c41ba45b1477424bab07c272d2080bba |
| institution | DOAJ |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-c41ba45b1477424bab07c272d2080bba2025-08-20T03:23:11ZengWileyCase Reports in Hepatology2090-65872090-65952018-01-01201810.1155/2018/73531707353170Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary CystadenocarcinomaHiroyuki Sugo0Yuki Sekine1Shozo Miyano2Ikuo Watanobe3Michio Machida4Kuniaki Kojima5Hironao Okubo6Ayako Ura7Kanako Ogura8Toshiharu Matsumoto9Department of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, JapanDepartment of Gastroenterology, Juntendo University Nerima Hospital, JapanDepartment of Diagnostic Pathology, Juntendo University Nerima Hospital, JapanDepartment of Diagnostic Pathology, Juntendo University Nerima Hospital, JapanDepartment of Diagnostic Pathology, Juntendo University Nerima Hospital, JapanWe report here an extremely rare case of hepatic sclerosing hemangioma mimicking a biliary cystadenocarcinoma. A previously healthy 39-year-old woman was referred to our hospital because of a large tumor in the liver. Abdominal computed tomography revealed early peripheral ring enhancement in the arterial phase and slight internal heterogeneous enhancement in the delayed phase. Magnetic resonance imaging revealed a tumor with low intensity in the T1-weighted image and very high intensity in the fat-saturated T2-weighted image. The patient underwent hepatectomy for a possible malignant liver tumor. Grossly, the tumor appeared as a white, solid, and cystic mass (weighted 1.1 kg and measured 170×100×80 mm) that was elastic, soft, and homogeneous with a yellowish area. Histological examination showed that the tumor mostly consisted of fibrotic areas with hyalinization. The typical histology of cavernous hemangioma was confirmed in part, and the tumor was diagnosed as a sclerosing hemangioma with predominancy of the sclerosed area. A review of 20 cases reported previously revealed that only 2 (10%) patients were diagnosed as having sclerosing hemangioma preoperatively.http://dx.doi.org/10.1155/2018/7353170 |
| spellingShingle | Hiroyuki Sugo Yuki Sekine Shozo Miyano Ikuo Watanobe Michio Machida Kuniaki Kojima Hironao Okubo Ayako Ura Kanako Ogura Toshiharu Matsumoto Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma Case Reports in Hepatology |
| title | Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma |
| title_full | Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma |
| title_fullStr | Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma |
| title_full_unstemmed | Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma |
| title_short | Hepatic Sclerosing Hemangioma with Predominance of the Sclerosed Area Mimicking a Biliary Cystadenocarcinoma |
| title_sort | hepatic sclerosing hemangioma with predominance of the sclerosed area mimicking a biliary cystadenocarcinoma |
| url | http://dx.doi.org/10.1155/2018/7353170 |
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