A Case of Mesenchymal Hamartoma of the Liver with a Review of the Reported Cases in Japan

DOI Web Site 5 Citations
  • Ito Hiroshi
    Department of Pediatric Surgery, Fujita Gakuen University, School of Medicine
  • Toda Takashi
    Department of Pediatric Surgery, Fujita Gakuen University, School of Medicine
  • Kishikawa Teruaki
    Department of Pediatric Surgery, Fujita Gakuen University, School of Medicine
  • Yamaguchi Shigeru
    Department of Pediatric Surgery, Fujita Gakuen University, School of Medicine
  • Kani Atsuro
    Department of Pediatric Surgery, Fujita Gakuen University, School of Medicine
  • Funabiki Takahiko
    Department of General Surgery, Fujita Gakuen University, School of Medicine
  • Aoki Haruo
    Department of General Surgery, Fujita Gakuen University, School of Medicine
  • Arai Masayuki
    Department of Pathology, Fujita Gakuen University, School of Health Science
  • Shamoto Mikihiro
    2nd Department of Pathology, Fujita Gakuen University, School of Medicine
  • Takeuchi Jun
    2nd Department of Pathology, Fujita Gakuen University, School of Medicine
  • Yokoi Kozue
    Department of Pediatrics, Fujita Gakuen University, School of Medicine
  • Miyata Takao
    Department of Pediatrics, Fujita Gakuen University, School of Medicine
  • Matsuyama Kohji
    Department of Pediatrics, Nagoya 1st Red Cross Hospital

Bibliographic Information

Other Title
  • 肝間葉性過誤腫の1治験例 : 本邦報告例と対比して
  • カン カン ヨウセイ カゴシュ ノ 1 チケンレイ ホンポウ ホウコクレイ ト

Search this article

Description

An eight month old male infant was admitted with an abdominal mass located in the upper abdomen, which was noted a month prior to admission. On admission, the laboratory significances were SGOT 31mU/ml, LDH 171mU/ml and alfa-fetoprotein 3200ng/ml. The findings of liver scintigram and angiogram suggested a hepatoblastoma or mesenchymal hamartoma in the right lobe of the liver. A laparotomy was undertaken and a right hepatic lobectomy was successfully performed including the total excision of the tumor. The tumor was in a pedunculate fashion attached to the lower surface of the right lobe of the liver. The excised mass measured 16.5 by 14.0 by 8.0cm and weight 1320gm. Histological findings were characteristic of mesenchymal hamartoma, including loose myxomatous mesencym with proliferation of the ductal structure which is similar to the interlobular bile ducts, and an expansive growth to compress the surrounding liver tissue. There was no problem during the immediate postoperative period and the patient has been uneventful for the last 15 months after operation. This is the 18th reported case of mesenchymal hamartoma of the liver in Japan. By the survey of the other reported cases, alfa-fetoprotein was elevated in 4 out of 6 cases in which the determination was carried out. As seen in these four reported cases, alfa-fetoprotein reduced to the normal value one month after operation in our patient. It is interesting that there is an elevation of alfa-fetoprotein in this tumor.

Journal

Citations (5)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top