Sinkler Margaret A, Bosley Michael
Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Piedmont Hospital, Atlanta, GA 30309, USA.
Radiol Case Rep. 2018 Oct 11;14(1):48-51. doi: 10.1016/j.radcr.2018.09.016. eCollection 2019 Jan.
Hepatic adenomas are rare, benign liver masses of rising incidence in the United States. We present a report of a 22-year-old asymptomatic female with a massive (14.2 × 11.4 cm), centrally located hepatic adenoma. The unique presentation of the adenoma in close proximity to the hepatic vasculature meant the patient was not a candidate for surgical resection. An arterial embolization was used as an alternative approach to initial treatment. Arterial branches supplying the adenoma were identified via computed tomography and embolized with embospheres and coils. The treatment resulted in a large reduction in size and density of the adenoma identified at a 1-month follow-up. The case supports further use of arterial embolization as an initial treatment for large adenomas to improve the outcome of subsequent surgical approaches.
肝腺瘤在美国是一种罕见的、发病率呈上升趋势的肝脏良性肿块。我们报告了一例22岁无症状女性，患有一个巨大的（14.2×11.4厘米）、位于肝脏中央的肝腺瘤。该腺瘤紧邻肝血管的独特表现意味着该患者不适合手术切除。动脉栓塞被用作初始治疗的替代方法。通过计算机断层扫描确定供应腺瘤的动脉分支，并用栓塞球和弹簧圈进行栓塞。治疗导致在1个月的随访中发现腺瘤的大小和密度大幅减小。该病例支持进一步将动脉栓塞作为大型腺瘤的初始治疗方法，以改善后续手术治疗的效果。
