Guo Jing-Qiang, Zhou Jia-Hui, Zhang Kun, Lv Xin-Liang, Tu Chao-Yong
Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China.
Department of Pathology, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China.
World J Clin Cases. 2024 May 16;12(14):2382-2388. doi: 10.12998/wjcc.v12.i14.2382.
Hepatic epithelioid angiomyolipoma (HEA) has a low incidence and both clinical manifestations and imaging lack specificity. Thus, it is easy to misdiagnose HEA as other tumors of the liver, especially in the presence of liver diseases such as hepatitis cirrhosis. This article reviewed the diagnosis and treatment of a patient with HEA and alcoholic cirrhosis, and analyzed the literature, in order to improve the understanding of this disease.
A 67-year-old male patient with a history of alcoholic cirrhosis was admitted due to the discovery of a space-occupying lesion in the liver. Based on the patient's history, laboratory examinations, and imaging examinations, a malignant liver tumor was considered and laparoscopic partial hepatectomy was performed. Postoperative pathology showed HEA. During outpatient follow-up, the patient showed no sign of recurrence.
HEA is difficult to make a definite diagnosis before surgery. HEA has the potential for malignant degeneration. If conditions permit, surgical treatment is recommended.
肝上皮样血管平滑肌脂肪瘤（HEA）发病率较低，其临床表现及影像学表现均缺乏特异性。因此，HEA容易被误诊为肝脏的其他肿瘤，尤其是在存在如肝炎肝硬化等肝脏疾病的情况下。本文回顾了1例HEA合并酒精性肝硬化患者的诊治过程，并进行文献分析，以提高对该病的认识。
1例67岁男性患者，有酒精性肝硬化病史，因肝脏发现占位性病变入院。根据患者病史、实验室检查及影像学检查，考虑为肝脏恶性肿瘤，行腹腔镜下肝部分切除术。术后病理显示为HEA。门诊随访期间，患者无复发迹象。
HEA术前难以明确诊断。HEA有恶变潜能。若条件允许，建议手术治疗。
