Ahumada Espinoza Oscar, Hepp Kuschel Juan, Gallegos Angulo Marcela, Schiappacasse Faundes Giancarlo
Universidad del Desarrollo-Clínica Alemana, Santiago, Chile.
Departamento de Cirugía, Universidad del Desarrollo-Clínica Alemana, Santiago, Chile.
Rev Med Chil. 2022 Sep;150(9):1256-1259. doi: 10.4067/S0034-98872022000901256.
Angiomyolipomas (AML) are mesenchymal tumors belonging to the group of perivascular epithelioid cell tumors, which, rarely, can display a malignant behavior. They are composed of adipose tissue, vessels, and muscle tissue in different proportions, and constitute a differential diagnosis for other focal liver lesions. We report a 34-year-old woman in whom a focal hepatic lesion was discovered incidentally. The pathology report of an ultrasound guided biopsy informed an epithelioid angiomyolipoma, a rare variant of these lesions. During ten years of imaging follow, the size and features of the lesion has not changed. The patient rejected a surgical excision.
血管平滑肌脂肪瘤(AML)是一种间叶组织肿瘤,属于血管周上皮样细胞瘤,这种肿瘤很少会表现出恶性行为。它们由脂肪组织、血管和肌肉组织按不同比例组成,是其他局灶性肝病变的鉴别诊断对象。我们报告了一名34岁女性,她偶然发现了一个局灶性肝病变。超声引导下活检的病理报告显示为上皮样血管平滑肌脂肪瘤,这是这些病变的一种罕见变体。在十年的影像学随访中,病变的大小和特征没有变化。患者拒绝手术切除。