成人肝毛细血管血管瘤：病例报告及文献复习。

Adult capillary hemangioma of the liver: case report and literature review.

机构信息

Department of Pathology, National Taiwan University Hospital, Taipei.

出版信息

Kaohsiung J Med Sci. 2011 Aug;27(8):344-7. doi: 10.1016/j.kjms.2011.03.003. Epub 2011 May 7.

DOI:10.1016/j.kjms.2011.03.003

Abstract

Primary hepatic capillary hemangioma in adults is very rare. Here, we report a case of hepatic capillary hemangioma in a 71-year-old woman. She had abnormal liver function tests, and abdominal sonography revealed a 2-cm nodular lesion and fatty liver. Computed tomography scan revealed a hypervascular tumor. During 2 years' follow-up, the hepatic tumor enlarged to 3 cm in diameter. Serological tests showed no evidence of chronic viral hepatitis or increased level of alpha-fetoprotein. In fear of hepatocellular carcinoma, she received atypical hepatectomy. Microscopically, the tumor turned out to be a capillary hemangioma in a background of steatohepatitis. We searched the literature, and only six similar cases were found. We made a brief review of this rare disease entity and described its clinicopathological features.

摘要

成人原发性肝毛细血管血管瘤非常罕见。在此，我们报告一例 71 岁女性肝毛细血管血管瘤。她肝功能检查异常，腹部超声显示 2cm 结节状病变和脂肪肝。计算机断层扫描显示富血管性肿瘤。随访 2 年期间，肝肿瘤直径增大至 3cm。血清学检查无慢性病毒性肝炎或甲胎蛋白水平升高的证据。由于担心肝细胞癌，她接受了非典型肝切除术。显微镜下，肿瘤在脂肪性肝炎背景下表现为毛细血管血管瘤。我们检索了文献，仅发现 6 例类似病例。我们简要回顾了这种罕见疾病实体，并描述了其临床病理特征。