Retroperitoneal Cavernous Hemangioma Detected on Physical Examination
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- SAKURAI Taro
- Department of Surgery, Rinku General Medical Center
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- TANEMURA Masahiro
- Department of Surgery, Rinku General Medical Center
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- MATSUMOTO Kenichi
- Department of Surgery, Rinku General Medical Center
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- HIGASHI Shigeyoshi
- Department of Surgery, Rinku General Medical Center
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- FURUKAWA Haruna
- Department of Surgery, Rinku General Medical Center
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- MIYAKE Masakazu
- Department of Surgery, Rinku General Medical Center
Bibliographic Information
- Other Title
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- 健診を契機に発見された後腹膜海綿状血管腫の1例
- ケンシン オ ケイキ ニ ハッケン サレタ アトバラマク カイメンジョウ ケッカン シュ ノ 1レイ
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Abstract
<p>A 52-year-old woman consulted a physician at the Department of Cardiology in our hospital because she had hypertension of over 180 mmHg. To rule out primary aldosteronism, abdominal computed tomography (CT) was performed, revealing a 30 × 40 mm tumor with calcification, surrounded by the duodenum and right kidney. Enhanced CT displayed pale tumor staining at the equilibrium phase. Fluorodeoxyglucose-positron emission tomography (FDG-PET) /CT showed accumulation of SUVmax 3.5 in the same area, and magnetic resonance imaging (MRI) showed a homogeneous tumor with low T1W1 and markedly high T2W1 signals. Overall, this tumor was diagnosed as either a neurogenic tumor, a liposarcoma, or a hemangiosarcoma. Finally, we decided on tumor resection to make a definitive diagnosis without a preoperative needle biopsy. The operation was initiated via an anterior approach through the abdominal cavity. The resected tumor was diagnosed as a cavernous hemangioma. Retroperitoneal cavernous hemangiomas are quite rare. Perioperative diagnosis is usually difficult because the findings from images, including enhanced CT and MRI, display great diversity, such as hypo- or hypervascular staining. In conclusion, we should consider cavernous hemangioma as a differential diagnosis in retroperitoneal tumors.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 84 (9), 1520-1526, 2023
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390299673817346560
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 033106228
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed