Mao Yuxuan, Liu Weinan, Yao Yuping, Zou Chen, Tian Binzhang
Hepatobiliary Surgery, The First Affiliated Hospital of Hunan Normal University, China.
Rev Esp Enferm Dig. 2024 Sep 13. doi: 10.17235/reed.2024.10733/2024.
Epithelioid hemangioendothelioma (EHEs) is a vascular endothelial-derived tumor, which can be seen in the liver, mediastinum, lung and other parts, and most often occurs in the liver. Hepatic epithelioid hemangioendothelioma (HEHE) is rare in clinical practice. The etiology and pathogenesis of HEHE are still unclear, and it depends on imaging and pathological examination. A case of multiple space-occupying lesions in the liver was reported. The patient had no history of chronic liver disease, and was diagnosed as hepatic epithelioid hemangioendothelioma by abdominal ultrasonography，contrast-enhanced CT，and PET-CT. Partial hepatectomy and intraoperative microwave ablation were performed. Postoperative pathological diagnosis confirmed the diagnosis of hepatic epithelioid hemangioendothelioma. This case report aims to provide clinicians with ideas for the diagnosis and treatment of the disease.
上皮样血管内皮瘤（EHEs）是一种血管内皮来源的肿瘤，可见于肝脏、纵隔、肺等部位，最常发生于肝脏。肝上皮样血管内皮瘤（HEHE）在临床实践中较为罕见。HEHE的病因及发病机制尚不清楚，其诊断依赖于影像学及病理检查。本文报道1例肝脏多发占位性病变患者。该患者无慢性肝病病史，经腹部超声、增强CT及PET-CT检查诊断为肝上皮样血管内皮瘤。行肝部分切除术及术中微波消融治疗。术后病理诊断确诊为肝上皮样血管内皮瘤。本病例报告旨在为临床医生提供该病诊断及治疗思路。
