Pokharna R K, Garg P K, Gupta S D, Dutta U, Tandon R K
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
J Clin Pathol. 1997 Dec;50(12):1029-31. doi: 10.1136/jcp.50.12.1029.
A 31 year old female patient presented with a one and a half year history of pain in the upper abdomen. The pain was mild, constant, dull aching, and increased with change in posture or sudden movements. There was no definite relation to meals. She also had a lump in the right upper quadrant, which had been gradually increasing in size over three months. She had mild anorexia and reported a 5 kg weight loss over one year. She had no history of intake of oral contraceptive drugs, exposure to vinyl chloride, thorotrast or any other industrial toxin. Ultrasonography of the abdomen revealed multiple space occupying lesions of altered echotexture in both lobes of the liver. The portal venous system and hepatic vascular system were normal. Computed tomography of the abdomen confirmed the ultrasound findings. Histopathology was diagnostic for primary epithelioid haemangioendothelioma; the first such case reported from India. The patient has been put on a waiting list for a liver transplant.
一名31岁女性患者，有上腹部疼痛1年半的病史。疼痛轻微，持续存在，呈钝痛，在姿势改变或突然运动时加重。与进餐无明确关系。她右上腹还有一个肿块，在3个月内逐渐增大。她有轻度厌食，报告1年内体重减轻了5公斤。她没有口服避孕药、接触氯乙烯、钍造影剂或任何其他工业毒素的病史。腹部超声检查显示肝脏两叶有多个回声质地改变的占位性病变。门静脉系统和肝血管系统正常。腹部计算机断层扫描证实了超声检查结果。组织病理学诊断为原发性上皮样血管内皮瘤；这是印度报道的首例此类病例。该患者已被列入肝移植等待名单。
