Qin Tian-Tian, Cao Li-Ting, Lu Li-Xia, Wang Xiu-Li, Zhang Jiu-Cong, Li Bin, Yu Xiao-Hui, Ren Xiao-Long
Department of Gastroenterology, The 940 Hospital of Joint Logistic Support Force of People's Liberation Army, No. 333 of Binhenan Road, Qilihe District, Lanzhou, 730050, China.
Department of Infectious Diseases, The Second Affiliated Hospital of Air Force Medical University, Xi'an 710038, China.
Open Life Sci. 2023 Jun 14;18(1):20220592. doi: 10.1515/biol-2022-0592. eCollection 2023.
Retiform hemangioendothelioma (RH) is a type of low-grade malignant angiosarcoma. It commonly involves the skin and subcutaneous tissue of the lower extremities, but a few cases have been reported in the gut. However, hepatic RH has not been previously reported. This report presents the case of RH of the liver in a 61-year-old woman who was admitted to the hospital having presented with liver space-occupying lesions of 2 months evolution. The patient underwent an abdominal ultrasound examination, which indicated a hemangioma, but abdominal computed tomography diagnosed a liver abscess. In order to determine the nature of the lesion, an ultrasound-guided liver biopsy was performed, after which a pathological diagnosis confirmed the presence of RH in the liver. The patient underwent ultrasound-guided microwave ablation three times and has been followed up for 8 years with no tumor recurrence or metastasis. Surgical excision is still the first choice for the treatment of hepatic RH. As shown in this case, however, for patients who refuse to undergo surgery or have surgical contraindications, ultrasound-guided microwave ablation is an alternative treatment option. The report of this case expands the scope of liver tumors to a certain extent and provides a reference for clinical diagnosis and treatment.
网状血管内皮瘤（RH）是一种低级别恶性血管肉瘤。它通常累及下肢皮肤和皮下组织，但肠道中也有少数病例报道。然而，此前尚未有肝RH的报道。本报告介绍了一名61岁女性肝RH的病例，该患者因出现2个月进展期的肝脏占位性病变入院。患者接受了腹部超声检查，提示为血管瘤，但腹部计算机断层扫描诊断为肝脓肿。为确定病变性质，进行了超声引导下肝活检，病理诊断证实肝脏存在RH。患者接受了3次超声引导下微波消融治疗，随访8年无肿瘤复发或转移。手术切除仍是肝RH治疗的首选。然而，如本病例所示，对于拒绝手术或有手术禁忌证的患者，超声引导下微波消融是一种替代治疗选择。该病例报告在一定程度上扩展了肝脏肿瘤的范围，为临床诊断和治疗提供了参考。
