Hasegawa Kiyoshi, Sugawara Yasuhiko, Ikeda Mami, Ishizawa Takeaki, Ohashi Kenichi, Makuuchi Masatoshi
Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Surg Today. 2006;36(11):1024-7. doi: 10.1007/s00595-006-3292-8.
Epithelioid hemangioendothelioma (EH) of the liver is a rare tumor, generally considered to have low-grade malignancy. Little is known about its clinical behavior and the therapeutic strategy is not established. We report the case of a 36-year-old woman who underwent living donor liver transplantation for EH with splenic metastases and died of recurrence 8 months later. To determine if transplantation improves the prognosis of patients with EH, we must re-evaluate its indications.
肝脏上皮样血管内皮瘤(EH)是一种罕见肿瘤,一般认为恶性程度较低。对其临床行为了解甚少,治疗策略也未确立。我们报告一例36岁女性患者,因患有伴有脾转移的EH接受了活体供肝移植,8个月后死于复发。为确定移植是否能改善EH患者的预后,我们必须重新评估其适应证。