Wang Huan-Yu, Zhang Liang, Wu Jian, Zhang Zi-Jian, Peng Bao-Gang, Liang Li-Jian, Zhou Qi
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510080, P.R. China.
Diagnostic Imaging and Interventional Radiology Department, Cancer Center, Sun Yat-Sen University, Guangzhou, Guangdong 510080, P.R. China.
Oncol Lett. 2015 Feb;9(2):637-640. doi: 10.3892/ol.2014.2769. Epub 2014 Dec 4.
A 47-year-old male presented with a six-month history of fatigue and a four-month history of alanine and aspartate aminopherase elevation. Laboratory examination revealed that the serum α-fetoprotein (AFP) level was 371.51 μg/l (normal range, 0-20 μg/l), and a computed tomography scan revealed a hypodense lesion in the left hepatic lobe. During laparotomy, a dark red-colored soft tumor (1.5×1.7 cm in diameter) was found in segment eight of the liver. Intra-operative pathology and post-operative histopathology examinations revealed that the tumor was a hepatic cavernous hemangioma. The serum AFP level was decreased to 24.45 μg/l by the second post-operative week. The literature was searched and only three similar cases were found. A brief review of this rare disease entity was produced, which attempted to explain this appearance reasonably.
一名47岁男性，有6个月的疲劳病史以及4个月的丙氨酸和天冬氨酸转氨酶升高病史。实验室检查显示血清甲胎蛋白（AFP）水平为371.51μg/l（正常范围0 - 20μg/l），计算机断层扫描显示肝左叶有一个低密度病变。剖腹手术中，在肝脏VIII段发现一个暗红色软肿瘤（直径1.5×1.7cm）。术中病理及术后组织病理学检查显示该肿瘤为肝海绵状血管瘤。术后第二周血清AFP水平降至24.45μg/l。检索文献仅发现3例类似病例。对这一罕见疾病实体进行了简要综述，试图合理解释这种表现。
