A case of hepatic sclerosed hemangioma with a significant morphological change over a period of 17 years

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  • Tsumaki Natsumi
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Waguri Nobuo
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Yoneyama Osamu
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Hama Isamu
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Kouhisa Junji
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Yokoo Takeshi
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Aiba Tsuneo
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Furukawa Koichi
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Sugimura Kazuhito
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Igarashi Kentaro
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Tsukioka Satoshi
    Department of Gastroenterology and Hepatology, Niigata City General Hospital
  • Yokoyama Naoyuki
    Department of Surgery, Niigata City General Hospital
  • Otani Tetsuya
    Department of Surgery, Niigata City General Hospital
  • Saitoh Hideki
    Department of Surgery, Niigata City General Hospital
  • Shiotani Motoi
    Department of Radiology, Niigata City General Hospital
  • Takahashi Naoya
    Department of Radiology, Niigata City General Hospital
  • Higuchi Takeshi
    Department of Radiology, Niigata City General Hospital
  • Maeda Haruo
    Department of Radiology, Niigata City General Hospital
  • Hashidate Hideki
    Department of Pathology, Niigata City General Hospital
  • Shibuya Hiroyuki
    Department of Pathology, Niigata City General Hospital

Bibliographic Information

Other Title
  • １７年の経過で興味有る画像変化を来たした肝硬化性血管腫の１例
  • 症例報告 17年の経過で興味有る画像変化を来たした肝硬化性血管腫の1例
  • ショウレイ ホウコク 17ネン ノ ケイカ デ キョウミアル ガゾウ ヘンカ オ キタシタ カン コウカセイ ケッカンシュ ノ 1レイ

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Abstract

A female in her 70s was admitted for right hypochondralgia and a liver tumor. Plain computed tomography (CT) showed an approximately 4-cm low-density mass in the periphery of Segment 8 that was marginally enhanced on contrast-enhanced dynamic CT. The tumor, a low-intensity mass on T1-weighted magnetic resonance images, showed slightly high intensity on T2. We suspected the tumor was a cholangiocarcinoma, a metastatic liver tumor, or a scirrhous-type hepatocellular carcinoma. Partial hepatectomy was performed and histological examination of a surgically obtained specimen revealed sclerosed hemangioma with marked hyalinization and sparse stromal fibrosis. Interestingly the radiological findings of the tumor obtained 17 years before at a local hospital had shown a typical cavernous hemangioma of the liver. Hepatic sclerosed hemangioma is a rare condition; thus the radiological findings taken from the same patient 17 years apart would be valuable in its implications for the involutional process from cavernous hemangioma to sclerosed hemangioma.<br>

Journal

  • Kanzo

    Kanzo 49 (6), 268-274, 2008

    The Japan Society of Hepatology

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