Department of General Surgery, Fuyang Tumour Hospital, Fuyang, Anhui Province, China.
Department of Pathology, Fuyang Tumour Hospital, Fuyang, Anhui Province, China.
J Int Med Res. 2022 May;50(5):3000605221100768. doi: 10.1177/03000605221100768.
Primary hepatic stromal tumours are very rare and there are only sporadic reports in the literature. Due to the lack of specificity in their clinical manifestations and imaging features, these tumours are easily misdiagnosed. This current report presents a case of primary liver stromal tumour that was misdiagnosed as a liver cyst. The 72-year-old male patient was admitted to the hospital due to right upper abdomen fullness and discomfort for more than 2 weeks. Colour Doppler ultrasonography and enhanced computed tomography examinations revealed a cystic mass in the right lobe of the liver. The preoperative diagnosis was a liver cyst and the laparoscopic fenestration was performed. The pathological examination demonstrated that it was a primary hepatic stromal tumour. Gastroenteroscopy was performed postoperatively and no lesions were found in the gastrointestinal tract. Imatinib mesylate was given orally as the salvage therapy and a radical operation was planned at the patient's request. This current case serves as a reminder that clinicians should consider the possibility that it could be a primary hepatic stromal tumour rather than a hepatic cyst. A multidisciplinary team is necessary for the diagnosis and treatment of patients with a primary hepatic stromal tumour.
原发性肝间质瘤非常罕见，文献中仅有零星报道。由于其临床表现和影像学特征缺乏特异性，这些肿瘤容易被误诊。本报告介绍了一例原发性肝间质瘤误诊为肝囊肿的病例。该 72 岁男性患者因右上腹胀满不适 2 周余入院。彩色多普勒超声和增强 CT 检查显示肝右叶囊性肿块。术前诊断为肝囊肿，并进行了腹腔镜开窗术。病理检查显示为原发性肝间质瘤。术后行胃镜检查，胃肠道未见病变。给予甲磺酸伊马替尼口服作为挽救治疗，并根据患者要求计划进行根治性手术。本病例提醒临床医生应考虑其可能为原发性肝间质瘤而不是肝囊肿。多学科团队对于原发性肝间质瘤患者的诊断和治疗是必要的。
