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The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma

Hepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor. Preoperative diagnosis of HEHE is difficult because it does not manifest specific symptoms or tumor markers. We report a resected case of small and solitary HEHE. The patient, a 74-year-old man, had undergone surgical resection for lef...

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Autores principales: Kubo, Norio, Harimoto, Norifumi, Araki, Kenichiro, Hagiwara, Kei, Yamanaka, Takahiro, Ishii, Norihiro, Tsukagoshi, Mariko, Igarashi, Takamichi, Watanabe, Akira, Miyazaki, Masaya, Yokoo, Hideaki, Kuwano, Hiroyuki, Shirabe, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120404/
https://www.ncbi.nlm.nih.gov/pubmed/30186092
http://dx.doi.org/10.1159/000490524
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author Kubo, Norio
Harimoto, Norifumi
Araki, Kenichiro
Hagiwara, Kei
Yamanaka, Takahiro
Ishii, Norihiro
Tsukagoshi, Mariko
Igarashi, Takamichi
Watanabe, Akira
Miyazaki, Masaya
Yokoo, Hideaki
Kuwano, Hiroyuki
Shirabe, Ken
author_facet Kubo, Norio
Harimoto, Norifumi
Araki, Kenichiro
Hagiwara, Kei
Yamanaka, Takahiro
Ishii, Norihiro
Tsukagoshi, Mariko
Igarashi, Takamichi
Watanabe, Akira
Miyazaki, Masaya
Yokoo, Hideaki
Kuwano, Hiroyuki
Shirabe, Ken
author_sort Kubo, Norio
collection PubMed
description Hepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor. Preoperative diagnosis of HEHE is difficult because it does not manifest specific symptoms or tumor markers. We report a resected case of small and solitary HEHE. The patient, a 74-year-old man, had undergone surgical resection for left renal cell carcinoma 20 years ago. During follow-up, a tumor approximately 1.3 cm in diameter was detected by computed tomography (CT) at liver segment VIII. It showed isodensity in the arterial phase, low density in the portal venous phase, and homogeneous enhancement in the late phase on CT and magnetic resonance imaging (MRI). We performed hepatic resection of the right hepatic vein drainage area. A pathological diagnosis of HEHE was made. Although small and solitary HEHE is rare, an enhancement pattern in each phase on CT and MRI, using contrast media, can yield clues for the diagnosis of HEHE.
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spelling pubmed-61204042018-09-05 The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma Kubo, Norio Harimoto, Norifumi Araki, Kenichiro Hagiwara, Kei Yamanaka, Takahiro Ishii, Norihiro Tsukagoshi, Mariko Igarashi, Takamichi Watanabe, Akira Miyazaki, Masaya Yokoo, Hideaki Kuwano, Hiroyuki Shirabe, Ken Case Rep Gastroenterol Case and Review Hepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor. Preoperative diagnosis of HEHE is difficult because it does not manifest specific symptoms or tumor markers. We report a resected case of small and solitary HEHE. The patient, a 74-year-old man, had undergone surgical resection for left renal cell carcinoma 20 years ago. During follow-up, a tumor approximately 1.3 cm in diameter was detected by computed tomography (CT) at liver segment VIII. It showed isodensity in the arterial phase, low density in the portal venous phase, and homogeneous enhancement in the late phase on CT and magnetic resonance imaging (MRI). We performed hepatic resection of the right hepatic vein drainage area. A pathological diagnosis of HEHE was made. Although small and solitary HEHE is rare, an enhancement pattern in each phase on CT and MRI, using contrast media, can yield clues for the diagnosis of HEHE. S. Karger AG 2018-08-21 /pmc/articles/PMC6120404/ /pubmed/30186092 http://dx.doi.org/10.1159/000490524 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case and Review
Kubo, Norio
Harimoto, Norifumi
Araki, Kenichiro
Hagiwara, Kei
Yamanaka, Takahiro
Ishii, Norihiro
Tsukagoshi, Mariko
Igarashi, Takamichi
Watanabe, Akira
Miyazaki, Masaya
Yokoo, Hideaki
Kuwano, Hiroyuki
Shirabe, Ken
The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title_full The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title_fullStr The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title_full_unstemmed The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title_short The Feature of Solitary Small Nodular Type of Hepatic Epithelioid Hemangioendothelioma
title_sort feature of solitary small nodular type of hepatic epithelioid hemangioendothelioma
topic Case and Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120404/
https://www.ncbi.nlm.nih.gov/pubmed/30186092
http://dx.doi.org/10.1159/000490524
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