Navale Pooja, Habib Maria, Stueck Ashley, Fiel Maria I
Icahn School of Medicine at Mount Sinai, Department of Pathology New York, NY, USA 10029-6574.
Icahn School of Medicine at Mount Sinai, Department of Radiology, New York, NY, USA 10029-6574.
J Clin Exp Hepatol. 2018 Dec;8(4):474-477. doi: 10.1016/j.jceh.2018.07.003. Epub 2018 Jul 19.
Sclerosing hemangiomas of the liver are rare benign tumors of the liver. Although hepatic hemangiomas are the most common benign liver tumor, they are mostly cavernous in nature. A hepatic sclerosing hemangioma is defined by presence of fibrosis and hyalinization as a result of degenerative changes in a cavernous hemangioma. The radiological features of sclerosing hepatic hemangioma can resemble those of cholangiocarcinoma, fibrolamellar carcinoma, or metastasis. We present a case of a hepatic sclerosing hemangioma in which an unusual magnetic resonance imaging (MRI) and computed tomography (CT) appearance lead to radiographic concern for gallbladder carcinoma. To the best of our knowledge, this is the first case in the literature of a hepatic sclerosing hemangioma mimicking a gallbladder carcinoma.
肝脏硬化性血管瘤是肝脏罕见的良性肿瘤。虽然肝血管瘤是最常见的肝脏良性肿瘤,但它们大多本质上是海绵状的。肝脏硬化性血管瘤是由海绵状血管瘤退变导致的纤维化和玻璃样变所定义。硬化性肝血管瘤的放射学特征可能类似于胆管癌、纤维板层癌或转移瘤。我们报告一例肝脏硬化性血管瘤,其不寻常的磁共振成像(MRI)和计算机断层扫描(CT)表现引起了对胆囊癌的影像学担忧。据我们所知,这是文献中首例模仿胆囊癌的肝脏硬化性血管瘤病例。