Mylonakis Adam, Sakarellos Panagiotis, Kyros Eleandros, Kydonakis Nikolaos, Mylonakis Emmanouil, Karydakis Lysandros, Papalampros Alexandros, Felekouras Evaggelos
Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Department of Surgey, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2023 Jul 8;15(7):e41563. doi: 10.7759/cureus.41563. eCollection 2023 Jul.
Hepatic small vessel neoplasm (HSVN) is a recently described vascular neoplasm of the liver. It demonstrates an infiltrative growth pattern and lacks cytologic atypia and mitotic activity. So far, no cases of metastasis or disease recurrence after excision have been reported in the literature. In this report, we present the case of a 31-year-old woman with a lesion in segments VII-VIII of the liver who was referred to our surgical department due to right lumbar pain. She underwent an atypical wedge hepatectomy (segments VII, VIII) and cholecystectomy. The histopathology of the resected specimen confirmed a 40mm HSVN. The patient did not receive any adjuvant therapy and is scheduled for follow-up with serial magnetic resonance imaging (MRI) scans over the next five years due to the unknown malignant potential of the tumor.
肝小血管肿瘤（HSVN）是一种最近才被描述的肝脏血管肿瘤。它表现为浸润性生长模式，缺乏细胞异型性和有丝分裂活性。迄今为止，文献中尚未报道过切除术后发生转移或疾病复发的病例。在本报告中，我们介绍了一名31岁女性的病例，该患者肝脏VII - VIII段有病变，因右腰疼痛转诊至我们的外科。她接受了非典型楔形肝切除术（VII、VIII段）和胆囊切除术。切除标本的组织病理学证实为40mm的HSVN。由于肿瘤的恶性潜能未知，该患者未接受任何辅助治疗，并计划在未来五年内通过系列磁共振成像（MRI）扫描进行随访。
