Ando K, Okita K, Fukumoto Y, Kodama T, Takemoto T, Goto H, Chihara T
J Clin Gastroenterol. 1984 Aug;6(4):365-8.
We report a cavernous hemangioma of the liver with some curious findings. Angiography showed a hypervascular lesion and the arterioportal shunt which commonly is regarded as a pathognomonic sign of malignancy. Laparoscopy showed a well-defined, reddish-purple elevated lesion with a central umbilication. As the patient was a painter and dealing with vinyl chloride monomer, we suspected the possibility of hemangiosarcoma. The lesion proved to be a cavernous hemangioma with central fibrous replacement probably in consequence of thrombosis of some cavernous spaces.
我们报告了一例肝脏海绵状血管瘤，并伴有一些奇特的发现。血管造影显示为高血管病变以及动脉门静脉分流，而后者通常被视为恶性肿瘤的特征性征象。腹腔镜检查显示有一个边界清晰、呈红紫色隆起且中央有脐凹的病变。由于该患者是一名画家且接触氯乙烯单体，我们怀疑有血管肉瘤的可能性。结果证实该病变是一个海绵状血管瘤，伴有中央纤维组织替代，这可能是一些海绵状间隙血栓形成的结果。
