The Natural History of a Hepatic Angiosarcoma that was Difficult to Differentiate from Cavernous Hemangioma

A 69-year old man came to our hospital complaining of abdominal pain. Contrast-enhanced computed tomography (CT) showed a 65-mm ruptured mass in Couinaud segment 5 of the liver. The mass was treated with emergent transcatheter arterial embolization (TAE), followed by partial hepatectomy. Microscopic...

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Bibliographic Details
Published inInternal Medicine Vol. 51; no. 20; pp. 2899 - 2904
Main Authors Okano, Akihiro, Sonoyama, Hiroki, Masano, Yuuki, Taniguchi, Takanori, Ohana, Masaya, Kusumi, Fusako, Nabeshima, Motoshige
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.01.2012
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Summary:A 69-year old man came to our hospital complaining of abdominal pain. Contrast-enhanced computed tomography (CT) showed a 65-mm ruptured mass in Couinaud segment 5 of the liver. The mass was treated with emergent transcatheter arterial embolization (TAE), followed by partial hepatectomy. Microscopically, the mass was determined to be an angiosarcoma. Six months previously, enhanced CT had shown a 15-mm mass diagnosed as a cavernous hemangioma in the same region of the liver. Even when the enhancement pattern of a small hepatic mass resembles that of hemangioma, the mass should be reassessed within several months to exclude a diagnosis of hepatic angiosarcoma.
Bibliography:ObjectType-Case Study-2
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ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.51.7994