Hepatic Surgery Centre, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Int Med Res. 2020 Jul;48(7):300060520934325. doi: 10.1177/0300060520934325.
Infantile hepatic haemangioendothelioma (IHH) is the most common benign hepatic tumour in infants. However, experience of managing IHH is lacking and treatments for symptomatic IHH are controversial. Here we report the case of a patient with IHH treated by liver resection. A liver mass was found in a newborn by prenatal ultrasonography. The patient presented with abdominal distention with a tangible mass. Further imaging diagnosis and biopsy were carried out and complete surgical resection of the mass was performed. Histological examination confirmed IHH. The patient recovered uneventfully after surgery, with no additional therapy after discharge and no recurrence during follow-up. We also summarise previously published resected cases of IHH and review the surgical outcomes. Surgical resection and liver transplantation appear to be effective treatments for symptomatic IHH.
婴儿肝血管内皮细胞瘤(IHH)是婴儿期最常见的良性肝肿瘤。然而,IHH 的治疗经验不足,且对有症状的 IHH 的治疗存在争议。本文报告了 1 例接受肝切除术治疗的 IHH 患者。产前超声检查发现 1 例新生儿存在肝肿块。该患者表现为腹胀和可触及的肿块。进一步进行了影像学诊断和活检,并对肿块进行了完全手术切除。组织学检查证实为 IHH。患者术后恢复顺利,出院后未进行额外治疗,随访期间无复发。我们还总结了既往发表的 IHH 切除病例,并回顾了手术结果。手术切除和肝移植似乎是治疗有症状的 IHH 的有效方法。