Kamarajah Sivesh K, Robinson Daniel, Littler Pete, White Steven A
Department of Hepatopancreatobiliary and Transplantation Surgery, Freeman Hospital, Newcastle upon Tyne, UK.
J Surg Case Rep. 2018 Aug 20;2018(8):rjy223. doi: 10.1093/jscr/rjy223. eCollection 2018 Aug.
Primary hepatic epithelioid hemangioendothelioma (HEHE) is an extremely rare tumor of vascular origin with an incidence of <0.1 per 100 000 population. We describe a 70-year-old man with renal cell carcinoma managed via robotic right partial nephrectomy who was also found to have a solitary 10 mm lesion on a pre-operative staging computer tomography (CT) scan. The patient underwent percutaneous biopsy and local ablation of the lesion consistent with an epithelioid hepatic haemangioendothelioma. Post-procedure CT scan after 1 month showed adequate ablation margins with no new lesions. The role of local ablation for solitary, small HEHE is discussed.
原发性肝脏上皮样血管内皮瘤（HEHE）是一种极其罕见的血管源性肿瘤，发病率低于十万分之一。我们描述了一名70岁的肾细胞癌男性患者，通过机器人辅助右半肾切除术进行治疗，在术前分期计算机断层扫描（CT）中还发现了一个10毫米的孤立性病变。患者接受了经皮活检和与上皮样肝血管内皮瘤相符的病变局部消融。术后1个月的CT扫描显示消融边缘充分，无新病变。本文讨论了局部消融对孤立性小HEHE的作用。
