Louis Mena, Akhtar Adeel, Gherasim Claudia, Singh Hardeep
Northeast Georgia Medical Center, General Surgery Department, Gainesville, GA 30501, USA.
Northeast Georgia Medical Center, Internal Medicine Department, Gainesville, GA 30501, USA.
Radiol Case Rep. 2024 Jul 16;19(10):4127-4132. doi: 10.1016/j.radcr.2024.06.040. eCollection 2024 Oct.
Hepatic hemangiomas are commonly benign liver tumors, typically asymptomatic and predominantly located in the right lobe. This case report details an exceptional instance of a left-lobe hepatic hemangioma manifesting as an exophytic, pedunculated mass resembling a gastric tumor. A 77-year-old woman with a history of melanoma presented with a mass incidentally discovered during evaluations for chest pain. Advanced imaging techniques, including computed tomography (CT) and endoscopic ultrasound (EUS), identified this mass as a benign, pedunculated hemangioma extending from the left hepatic lobe toward the gastric fundus. Given the tumor's benign nature and the patient's lack of symptoms, a conservative management approach was adopted. This case emphasizes the importance of accurate imaging and diagnostic assessment in managing atypical hepatic hemangiomas, highlighting the need to carefully consider rare growth patterns and locations in differential diagnoses to avoid unnecessary interventions. Such cases reinforce the complexity of diagnosing and managing unusual presentations of common benign tumors.
肝血管瘤是常见的肝脏良性肿瘤，通常无症状，主要位于右叶。本病例报告详细描述了一例罕见的左叶肝血管瘤，表现为向外生长的带蒂肿块，类似胃肿瘤。一名有黑色素瘤病史的77岁女性在因胸痛进行评估时偶然发现了一个肿块。包括计算机断层扫描（CT）和内镜超声（EUS）在内的先进成像技术将这个肿块确定为一个从左肝叶向胃底延伸的良性带蒂血管瘤。鉴于肿瘤的良性性质以及患者没有症状，采取了保守的管理方法。本病例强调了在处理非典型肝血管瘤时准确成像和诊断评估的重要性，突出了在鉴别诊断中仔细考虑罕见生长模式和位置以避免不必要干预的必要性。此类病例强化了诊断和处理常见良性肿瘤不寻常表现的复杂性。
