General Surgery, University of Rochester, Rochester, New York, USA.
Pathology and Laboratory Medicine, University of Rochester, Rochester, New York, USA.
BMJ Case Rep. 2022 Jun 10;15(6):e248932. doi: 10.1136/bcr-2022-248932.
Hepatic cavernous haemangioma is a benign tumour of vascular origin found within the liver. Often incidentally diagnosed, the management of these vascular masses is frequently determined by the size of the mass and symptoms associated with its compression of adjacent structures. Tumours >10 cm are known as giant haemangiomas and are associated with increased risks of compression symptoms, coagulopathies and haemorrhage. Known to express hormone receptors for oestrogen, intervention for these masses remains controversial in the setting of pregnancy where concerns for tumour growth and life-threatening complications are increased. Here we present the case of a woman in her 30s recently diagnosed with a giant haemangioma who is found to be pregnant, their management and a review of the literature.
肝海绵状血管瘤是一种良性的血管源性肿瘤，发生于肝脏内。常为偶然发现，这些血管肿块的处理通常取决于肿块的大小以及其对邻近结构压迫引起的相关症状。直径>10cm 的肿瘤被称为巨大血管瘤，与压迫症状、凝血异常和出血的风险增加相关。已知这些肿瘤表达雌激素受体，因此在怀孕期间，由于担心肿瘤生长和危及生命的并发症，对这些肿块的干预存在争议。本文报告了一位最近被诊断为巨大血管瘤的 30 多岁女性患者的病例，包括其妊娠情况、治疗方法以及文献复习。
