Li Huizhen, Zhang Renjie, Liu Yang, Min Qinqin, Zeng Qingteng, Liu Jialin
The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No. 1, Fuhua Road, Futian District, Shenzhen, Guangdong 518033, China.
Department of Hepatobiliary Surgery, Shenzhen Traditional Chinese Medicine Hospital/The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No. 1, Fuhua Road, Futian District, Shenzhen, Guangdong 518033, China.
Int J Surg Case Rep. 2023 Mar;104:107926. doi: 10.1016/j.ijscr.2023.107926. Epub 2023 Feb 14.
Hepatic epithelioid hemangioendothelioma (HEHE) is a rare disease with a high probability of being misdiagnosed.
We present a case of a 38-year-old female patient found with HEHE by physical examination. The tumor was removed by surgery successfully, but then had recurrence after the operation.
We review the current literature on HEHE; its prevalence, diagnosis and treatment. And our opinion is that using fluorescent laparoscopy for HEHE may has an advantage in visualizing tumors, but there is still high possibility of false positives. It is recommended to use it correctly during operation.
The clinical presentation, laboratory and imaging index for HEHE were lacking in specificity. Therefore, diagnosis still depends mainly on pathology results, in which the most effective treatment is surgery. Besides, the fluorescent nodule which is not shown on images need to be analyzed carefully in order to avoid damage to normal tissue.
肝上皮样血管内皮瘤（HEHE）是一种罕见疾病，极易被误诊。
我们报告一例38岁女性患者，通过体格检查发现患有HEHE。肿瘤通过手术成功切除，但术后复发。
我们回顾了目前关于HEHE的文献，包括其发病率、诊断和治疗。我们认为，荧光腹腔镜检查对HEHE在肿瘤可视化方面可能具有优势，但仍有较高的假阳性可能性。建议在手术中正确使用。
HEHE的临床表现、实验室和影像学指标缺乏特异性。因此，诊断仍主要依赖病理结果，其中最有效的治疗方法是手术。此外，需要仔细分析图像上未显示的荧光结节，以避免损伤正常组织。
