Kajihara Jun, Wada Hiroshi, Tomimaru Yoshito, Hama Naoki, Akita Hirofumi, Kawamoto Koichi, Kobayashi Shogo, Eguchi Hidetoshi, Umeshita Koji, Doki Yuichiro, Mori Masaki, Nagano Hiroaki
Dept. of Gastroenterological Surgery, Graduate School of Medicine, Osaka University.
Gan To Kagaku Ryoho. 2013 Nov;40(12):1801-3.
An 82-year-old man without any complaint was shown to have a hypoechoic lesion, 2 cm in diameter, in segment 5 of the liver by ultrasonography. After 3 months, an abdominal computed tomographic (CT) scan revealed a tumor lesion, 5.5 cm in diameter, with irregular peripheral enhancement. Positron emission tomography (PET)-CT revealed abnormal accumulation of fluorodeoxyglucose in the liver tumor, but no accumulation in other lesions. Based on the diagnosis of primary malignant liver tumor, we performed S5 subsegmentectomy of the liver. Histopathological examination showed spindle tumor cells forming hemorrhagic and focal necrosis. On immunohistochemistry, the tumor cells weakly expressed CD31. We diagnosed the tumor as hepatic angiosarcoma. The patient was discharged from the hospital 17 days after the surgery and survived without evidence of recurrence for 12 postoperative months.
一位82岁男性,无任何不适症状,超声检查显示肝脏第5段有一个直径2厘米的低回声病变。3个月后,腹部计算机断层扫描(CT)显示一个直径5.5厘米的肿瘤病变,周边强化不规则。正电子发射断层扫描(PET)-CT显示肝肿瘤中有氟脱氧葡萄糖异常聚集,但其他病变无聚集。基于原发性恶性肝肿瘤的诊断,我们进行了肝脏第5亚段切除术。组织病理学检查显示梭形肿瘤细胞形成出血和局灶性坏死。免疫组织化学检查显示肿瘤细胞弱表达CD31。我们将该肿瘤诊断为肝血管肉瘤。患者术后17天出院,术后12个月无复发迹象存活。