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Koszka AJ, Ferreira FG, de Aquino CG, Ribeiro MA, Gallo AS, Aranzana EM, Szutan LA. Resection of a rapid-growing 40-cm giant liver hemangioma. World J Hepatol 2010; 2:292-4. [PMID: 21161011 PMCID: PMC2999292 DOI: 10.4254/wjh.v2.i7.292] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2010] [Revised: 06/16/2010] [Accepted: 06/23/2010] [Indexed: 02/06/2023] Open
Abstract
Hemangiomas are the most frequent benign tumors of the liver. Most hemangiomas are asymptomatic and therefore largely diagnosed only in routine screening tests. Usually they are small and require no specific treatment. In some situations they can reach great dimensions, causing some discomfort to the patient. Resection of liver hemangioma is indicated in cases of great dimension tumors causing symptoms such as pain, nausea or bloating caused by compression of adjacent organs. We report a case of a rare giant hemangioma with rapid growth in short time: a 50 year old female reported to our institution with a 40 cm giant liver hemangioma and then underwent a left hepatectomy.
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Affiliation(s)
- Andreas Jm Koszka
- Andreas JM Koszka, Fabio G Ferreira, Caio GG de Aquino, Maurício A Ribeiro, André S Gallo, Elisa MC Aranzana, Luiz A Szutan, Department of Surgery, Liver and Portal Hypertension Group, Santa Casa School of Medical Sciences, Sao Paulo, Cep 01221-900, Brazil
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Kato R, Ishida H, Yagisawa H, Ishii T, Komatsuda T, Miyauchi T, Sato T, Saito K. Painful hepatic hemangioma: report of a case with an emphasis on sonographic findings. J Med Ultrason (2001) 2010; 37:21-5. [PMID: 27277606 DOI: 10.1007/s10396-009-0242-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2009] [Accepted: 08/28/2009] [Indexed: 11/25/2022]
Abstract
Hepatic hemangiomas are usually asymptomatic and very rarely produce abdominal symptoms. We report a painful 10 × 9 cm hemangioma situated at the hepatic surface of segment 6. The lesion showed a heterogeneous internal structure, composed irregularly of hyperechoic and hypoechoic areas, and it also showed weak posterior echo enhancement. Contrast-enhanced US showed the so-called fill-in pattern, leading to the diagnosis of hepatic hemangioma. The patient's abdomen showed no other abnormal findings, which stressed the relationship between the hemangioma and the patient's symptoms. When the diagnosis of hepatic hemangioma is conclusive, surgical therapy is indicated only in patients with severe symptoms. Our patient was considered to be a candidate for enucleation of the lesion. Histopathologically, the lesion included no areas of hemorrhage or necrosis, and the patient's abdominal pain was likely due to distension of the liver capsule. After surgery, the patient was completely free of symptoms, and enucleation was considered to be appropriate.
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Affiliation(s)
- Ryusuke Kato
- Department of Gastroenterology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan.
| | - Hideaki Ishida
- Department of Gastroenterology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Hitoshi Yagisawa
- Department of Gastroenterology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Toru Ishii
- Department of Gastroenterology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Tomoya Komatsuda
- Department of Gastroenterology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Takaharu Miyauchi
- Department of Radiology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Tsutomu Sato
- Department of General Surgery, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
| | - Ken Saito
- Department of Pathology, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitade, Akita, 010-1495, Japan
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