Adult Solid Hepatic Mesenchymal Hamartoma Masquerading as Malignancy

Solid Hepatic Mesenchymal Hamartoma (HMH) rarely occurs in adults. We report two cases of solid adult HMH. A 62-year-old female with right upper abdominal pain on Computed Tomography (CT) scan revealed a well defined heterogeneously enhancing solid mass lesion in segment VII of liver along with non-...

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Bibliographic Details
Published inJournal of clinical and diagnostic research Vol. 11; no. 10; pp. PD10 - PD12
Main Author Desai, Gunjan
Format Journal Article
LanguageEnglish
Published JCDR Research and Publications Private Limited 01.10.2017
Subjects
Hamartoma liver
Liver cancer
Mesodermal masses
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Summary:Solid Hepatic Mesenchymal Hamartoma (HMH) rarely occurs in adults. We report two cases of solid adult HMH. A 62-year-old female with right upper abdominal pain on Computed Tomography (CT) scan revealed a well defined heterogeneously enhancing solid mass lesion in segment VII of liver along with non-enhancing central necrotic areas. Percutaneous biopsy and intraoperative frozen section were inconclusive and conventional right hepatectomy was done. Final histopathology was solid HMH. Another 63-year-old female with right upper abdominal pain had cirrhotic liver, choledocholithiases, cholelithiases, mild ascites and a right lobe lesion with calcifications on CT scan. Ultrasound guided biopsy showed fibrocollagenous tissue. She was operated for a right hepatectomy and choledochoduodenostomy. Final histopathology revealed solid HMH. Though solid adult HMH is rare, it should be considered in differential diagnosis of solid/cystic/focal or multifocal liver lesions and surgical resection to negative margins is the treatment of choice.
ISSN:2249-782X
0973-709X
2249-782X
DOI:10.7860/JCDR/2017/29068.10773