Maèkawa S, Mizutani Y, Terachi T, Okada Y, Yoshida O
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1997 Feb;43(2):123-6.
A rare case of exophytic hepatic hemangioma preoperatively diagnosed as a non-functioning adrenal tumor is reported. A 62-year-old man was admitted for treatment of primary hyper-parathyroidism and an incidental adrenal tumor. A 4.0 x 2.5 cm heterogeneous tumor located between the liver and the right kidney was detected by abdominal ultrasonography, computed tomography and magnetic resonance imaging. Color doppler images revealed no apparent blood flow. Since the tumor seemed to have originated from the liver under laparoscopy, an open partial hepatectomy was performed. Histopathological examination revealed cavernous hemangioma of the liver. When diagnosing non-functioning right adrenal tumor, it may be necessary to carefully rule out an exophytic liver tumor.
报告一例术前诊断为无功能肾上腺肿瘤的外生性肝血管瘤罕见病例。一名62岁男性因原发性甲状旁腺功能亢进和偶然发现的肾上腺肿瘤入院治疗。腹部超声、计算机断层扫描和磁共振成像检查发现一个位于肝脏和右肾之间的4.0×2.5 cm大小的不均匀肿瘤。彩色多普勒图像显示无明显血流。由于在腹腔镜检查下肿瘤似乎起源于肝脏，遂行开放性肝部分切除术。组织病理学检查显示为肝脏海绵状血管瘤。在诊断无功能右肾上腺肿瘤时，可能有必要仔细排除外生性肝脏肿瘤。
