Miyaki Daisuke, Aikata Hiroshi, Waki Koji, Murakami Eisuke, Hashimoto Yoshimasa, Nagaoki Yuko, Katamura Yoshio, Kawaoka Tomokazu, Takaki Shintaro, Hiramatsu Akira, Imamura Michio, Takahashi Shoichi, Ohya Toshihide, Sakimoto Hideto, Arihiro Koji, Chayama Kazuaki
Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University, and Department of Anatomical Pathology, Hiroshima University Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2011 Jun;108(6):954-61.
A sixties woman was found to have diagnosed by abdominal ultrasonography with a tumor in the left lobe of the liver and was referred to our institution in 1998. Abdominal magnetic resonance imaging (MRI) showed a typical, 70×45 mm cavernous hemangioma, which was followed up by annual MRI. In 2006, 8 years after the initial diagnosis, the MRI showed that the tumor had reduced to 30×15 mm. Although atypical of hemangioma, review of the annual observations indicated a diagnosis of regressive hemangioma, which also accorded with clinical observations. In 2009, a liver biopsy was performed by laparotomy during gastrectomy for gastric cancer. Pathological examination of the biopsy revealed sclerosed hemangioma tissue, confirming the diagnosis of regression of a cavernous hemangioma to a sclerosed hemangioma over 12 years.
一名60岁女性经腹部超声检查发现肝脏左叶有肿瘤，于1998年转诊至我院。腹部磁共振成像（MRI）显示一个典型的70×45毫米海绵状血管瘤，此后每年进行MRI随访。2006年，即初次诊断8年后，MRI显示肿瘤已缩小至30×15毫米。尽管不符合血管瘤的典型表现，但回顾每年的观察结果提示为消退型血管瘤，这也与临床观察相符。2009年，在因胃癌行胃切除术时通过剖腹术进行了肝脏活检。活检的病理检查显示为硬化性血管瘤组织，证实海绵状血管瘤在12年的时间里已退化为硬化性血管瘤。
