肝外発育性肝血管腫の1例

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  • A CASE OF GIANT HEMANGIOMA OF THE LIVER WITH AN EXTRAHEPATIC GROWTH

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We experienced a case of giant hemangioma of the liver with an extrahepatic growth. A 58-year-old woman was admitted to the hospital because of an abdominal tumor. She complained of that the tumor had moved like a pendulum which swung left and right. Ultrasonography and CT scan of the abdomen revealed a liver tumor with an extrahepatic growth. The pendulum-like movement was confirmed in CT. The findings of angiography showed “cotton wool appearance”, which was charasteristic of hemangioma of the liver, at the lateral inferior segment and the medial segment. Operation was performed because it was supposed that the movement caused spontaneous rupture or laceration. The excised tumor was 14×11×4cm in size and 480g in weight. Histopathologically, it was diagnosed as cavernous hemangioma. Hemangiomas with an extrahepatic growth are rare. Our case was the 29th, as far as we could review in the Japanese literature.

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