Giant Mesenchymal Hamartoma of the Liver in an Adult

A 47-year-old woman was admitted to our hospital due to an upper abdominal mass and abdominal distension. Abdominal CT showed a giant multilocular cystic lesion with a maximum dimension of 25cm in the right lobe of the liver and multiple cysts in the left lobbe of the liver. Coarse calcification alo...

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Published inNippon Shokaki Geka Gakkai zasshi Vol. 44; no. 5; pp. 526 - 532
Main Authors Okaya, Tomohisa, Sugano, Isamu, Hayashi, Shinichi, Suzuki, Hirofumi, Sugimoto, Katsumi, Karaki, Hirokazu, Sasaki, Takehide, Yamamoto, Kazuo, Kato, Masahisa, Yamamori, Hideo
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Japanese
Published The Japanese Society of Gastroenterological Surgery 2011
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Abstract A 47-year-old woman was admitted to our hospital due to an upper abdominal mass and abdominal distension. Abdominal CT showed a giant multilocular cystic lesion with a maximum dimension of 25cm in the right lobe of the liver and multiple cysts in the left lobbe of the liver. Coarse calcification along the septa was found. Three-dimensional CT cholangiogram showed no findings of communication between the giant multilocular cystic lesion and the biliary tract. MRI showed a variety of low intensity levels on T1-weighted images and a variety of high intensity levels on T2-weighted images in the giant multilocular cystic lesion. Extended right hepatectomy was performed for the giant multilocular cystic lesion in the right liver, and unroofing was performed for the cysts in the left liver. Microscopic findings showed many cysts varying in size with fibrous stroma, proliferated small bile ducts of various sizesand peliosis-like hepatic remnant and lymphangiomatous lesions. The pathological diagnosis was mesenchymal hamartoma of the liver. Mesenchymal hamartoma of the liver is very rare in adults, but should be taken into account for a multilocular cystic lesion in the liver.
AbstractList A 47-year-old woman was admitted to our hospital due to an upper abdominal mass and abdominal distension. Abdominal CT showed a giant multilocular cystic lesion with a maximum dimension of 25cm in the right lobe of the liver and multiple cysts in the left lobbe of the liver. Coarse calcification along the septa was found. Three-dimensional CT cholangiogram showed no findings of communication between the giant multilocular cystic lesion and the biliary tract. MRI showed a variety of low intensity levels on T1-weighted images and a variety of high intensity levels on T2-weighted images in the giant multilocular cystic lesion. Extended right hepatectomy was performed for the giant multilocular cystic lesion in the right liver, and unroofing was performed for the cysts in the left liver. Microscopic findings showed many cysts varying in size with fibrous stroma, proliferated small bile ducts of various sizesand peliosis-like hepatic remnant and lymphangiomatous lesions. The pathological diagnosis was mesenchymal hamartoma of the liver. Mesenchymal hamartoma of the liver is very rare in adults, but should be taken into account for a multilocular cystic lesion in the liver.
Author Suzuki, Hirofumi
Sasaki, Takehide
Yamamoto, Kazuo
Okaya, Tomohisa
Sugimoto, Katsumi
Kato, Masahisa
Yamamori, Hideo
Karaki, Hirokazu
Sugano, Isamu
Hayashi, Shinichi
Author_xml – sequence: 1
  fullname: Okaya, Tomohisa
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
– sequence: 2
  fullname: Sugano, Isamu
  organization: Department of Pathology, Chibaken Saiseikai Narashino Hospital
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  fullname: Hayashi, Shinichi
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Suzuki, Hirofumi
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Sugimoto, Katsumi
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Karaki, Hirokazu
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Sasaki, Takehide
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Yamamoto, Kazuo
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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  fullname: Kato, Masahisa
  organization: Department of Surgery, Tsudanuma Central General Hospital
– sequence: 10
  fullname: Yamamori, Hideo
  organization: Department of Surgery, Chibaken Saiseikai Narashino Hospital
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Snippet A 47-year-old woman was admitted to our hospital due to an upper abdominal mass and abdominal distension. Abdominal CT showed a giant multilocular cystic...
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mesenchymal hamartoma
Title Giant Mesenchymal Hamartoma of the Liver in an Adult
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