Case report of solitary giant hepatic lymphangioma.

Hwan Hyo Lee, Seon Youl Lee
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引用次数: 5

Abstract

A hepatic lymphangioma is a rare benign neoplasm that is usually associated with systemic lymphangiomatosis. A solitary hepatic lymphangioma is extremely rare. Therefore, we present a rare case of a female patient who underwent right hepatectomy for solitary giant hepatic lymphangioma. A 42-year-old female presented to the emergency department with complaint of severe abdominal pain of the right upper quadrant. Abdominal computed tomography showed an approximately 23×30-cm sized, giant, relatively well-defined, homogenous cystic mass with few septa in the right liver (segments VII and VIII). The preoperative diagnosis was a giant hepatic cystadenoma or cystadenocarcinoma. We performed right hepatectomy. The permanent histopathological report revealed cystic lymphangioma of the liver. Although the prognosis of solitary hepatic lymphangioma after surgical resection is favorable, recurrence has been reported in literature.

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孤立性巨大肝淋巴管瘤1例。
肝淋巴管瘤是一种罕见的良性肿瘤,通常与全身性淋巴管瘤病有关。孤立性肝淋巴管瘤极为罕见。因此,我们报告一位罕见的女性患者,因单发巨大肝淋巴管瘤而行右肝切除术。一名42岁女性以右上腹剧烈腹痛主诉到急诊科就诊。腹部计算机断层扫描显示右肝(第七段和第八段)约23×30-cm大小,巨大,相对清晰,均匀性囊性肿块,几乎没有间隔。术前诊断为巨大肝囊腺瘤或囊腺癌。我们进行了右肝切除术。永久性组织病理学报告显示肝脏囊性淋巴管瘤。虽然孤立性肝淋巴管瘤手术切除后预后良好,但已有文献报道复发。
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