Case report: Sclerosed hemangioma of the liver: A diagnostic challenge

Hemangiomas are the most common noncystic benign hepatic tumors and are usually incidentally discovered during routine radiological examinations. The diagnosis of hepatic hemangiomas with a typical presentation is generally easy with plain and cross-sectional imaging; however, it can be complicated...

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Published inFrontiers in surgery Vol. 9; p. 985849
Main Authors Poras, M, Katsanos, G, Agrafiotis, A C, Demetter, P, Pezzullo, M, Lucidi, V
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 29.12.2022
Subjects
cholangiocarcinoma
hemangioma
liver
sclerosed
sclerosing
Surgery
hemangioma
sclerosed
liver
cholangiocarcinoma
sclerosing
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Summary:Hemangiomas are the most common noncystic benign hepatic tumors and are usually incidentally discovered during routine radiological examinations. The diagnosis of hepatic hemangiomas with a typical presentation is generally easy with plain and cross-sectional imaging; however, it can be complicated when hemangiomas undergo histological changes such as fibrosis. Sclerosed hepatic hemangioma (SHH) is the extreme presentation of this fibrotic process. These atypical lesions can be misdiagnosed as primary hepatic malignancies or metastasis. Their diagnosis is established by histological examination. We report the case of a patient with an SHH, which was misdiagnosed as an intrahepatic cholangiocarcinoma. This article's aim is to draw attention to this infrequent pathology and underline the features of this benign tumor that could suggest its diagnosis prior to surgery to avoid unnecessary hepatic resections.
Bibliography:Edited by: Dimitrios Schizas, National and Kapodistrian University of Athens, Greece
Reviewed by: Evangelos Chartampilas, University General Hospital of Thessaloniki AHEPA, Greece Stylianos Kykalos, Laiko General Hospital, Greece
Specialty Section: This article was submitted to Surgical Oncology, a section of the journal Frontiers in Surgery
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2022.985849