Department of Internal Medicine II, Hamamatsu University School of Medicine, Japan.
Intern Med. 2023 Apr 15;62(8):1157-1166. doi: 10.2169/internalmedicine.0315-22. Epub 2022 Sep 6.
A 59-year-old woman presented to our hospital with liver dysfunction. Imaging revealed multiple lesions in the liver. The patient was diagnosed with peliosis hepatis using percutaneous and laparoscopic biopsies. However, her condition worsened with the appearance of new, obvious mass-forming lesions. Therefore, she underwent a second percutaneous biopsy of these lesions and was diagnosed with hepatic angiosarcoma. Her condition progressed rapidly, and she died two weeks after the diagnosis. Diagnosis of hepatic angiosarcoma in the early stages is difficult. It should be noted that hepatic angiosarcoma may be associated with the development of peliosis hepatis.
一位 59 岁女性因肝功能障碍就诊于我院。影像学检查显示肝脏内有多发性病变。通过经皮和腹腔镜活检诊断为肝血窦扩张症。但患者病情恶化，出现新的、明显的肿块形成性病变。因此，对这些病变进行了第二次经皮活检，诊断为肝血管肉瘤。患者病情迅速进展，确诊后两周死亡。早期诊断肝血管肉瘤较为困难。值得注意的是，肝血管肉瘤可能与肝血窦扩张症的发生有关。
