Sarangi Sujata, Thirunavukkarasu Balamurugan, Khera Sudeep, B Selvakumar, Yadav Taruna
Department of Pathology, Grant Govt. Medical College, Mumbai, India.
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Jodhpur, India.
Ann Hepatobiliary Pancreat Surg. 2023 Nov 30;27(4):329-341. doi: 10.14701/ahbps.23-046. Epub 2023 Nov 13.
Vascular tumors of the liver are mesenchymal lesions from endothelial cells. They range from common benign lesions such as haemangioma, intermediate tumors like Kaposi sarcoma, and perivascular epithelioid cell tumor to malignant tumors such as hepatic epithelioid hemangioendothelioma and hepatic angiosarcoma in adults. Pediatric vascular tumors of the liver also include benign, locally aggressive, borderline, and malignant masses with haemangiomas being the most common benign tumors and epithelioid hemangioendothelioma being an uncommon pediatric malignancy. The list of these lesions is completed by nodular regenerative hyperplasia, solitary fibrous tumour, and hepatic small vessel neoplasms (HSVN). Some of these tumors are uncommon and rare. This review article aimed to enumerate hepatic vascular tumors along with their imaging, histopathology, molecular findings for accurate diagnosis that can result in better management.
肝脏血管肿瘤是源于内皮细胞的间质性病变。它们包括常见的良性病变,如血管瘤;中间型肿瘤,如卡波西肉瘤和血管周上皮样细胞瘤;以及成人的恶性肿瘤,如肝上皮样血管内皮瘤和肝血管肉瘤。儿童肝脏血管肿瘤还包括良性、局部侵袭性、交界性和恶性肿块,其中血管瘤是最常见的良性肿瘤,上皮样血管内皮瘤是一种罕见的儿童恶性肿瘤。结节性再生性增生、孤立性纤维瘤和肝小血管肿瘤(HSVN)也在这些病变之列。其中一些肿瘤并不常见且罕见。这篇综述文章旨在列举肝脏血管肿瘤及其影像学、组织病理学和分子学发现,以实现准确诊断,从而带来更好的治疗效果。