Hepatic screlosed hemangioma which was misdiagnosed as metastasis of gastric cancer : report of a case

被引:11
作者
Yamada, Shinichiro [1 ]
Shimada, Mitsuo [1 ]
Utsunomiya, Tohru [1 ]
Morine, Yuji [1 ]
Imura, Satoru [1 ]
Ikemoto, Tetsuya [1 ]
Mori, Hiroki [1 ]
Hanaoka, Jun [1 ]
Iwahashi, Shuichi [1 ]
Saitoh, Yu [1 ]
Asanoma, Michihito [1 ]
机构
[1] Univ Tokushima, Dept Surg, 3-18-15 Kuramoto, Tokushima, Tokushima 7708503, Japan
关键词
cavernous hemangioma; liver; screlosed hemangioma; gastric cancer; metastatic tumor;
D O I
10.2152/jmi.59.270
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A screlosed hemangioma of the liver is rare among hepatic tumors. A 75 years old male was referred to our hospital for gastric cancer and a hepatic tumor. The histological finding of gastric cancer was revealed to be well differentiated adenocarcinoma. The liver tumor was 1.1 1.0 cm in size and located in segment 8 of the liver. Computed tomography (CT) showed it to be a tumor with ring enhancement. Magnetic resonance imaging (MRI) showed the tumor to have a low signal on T1-weighted and slightly high signal on T2-weighted images. Level of hemoglobin was 7.8g/dl. It was thought to be persistent bleeding from gastric cancer. With diagnosis of liver metastasis from gastric cancer, chemotherapy is recommended. However, to control the bleeding from gastric cancer, we performed distal gastrectomy and wedge resection of liver (S8). The histological examination of the liver tumor revealed to be a hepatic sclerosed hemangioma with hyalinized tissue and collagen fibers. We report herein a case of the rare tumor which was misdiagnosed as a liver metastasis of gastric cancer.
引用
收藏
页码:270 / 274
页数:5
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