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Challenging liver lesions in noncirrhotic patients: Report of three cases

We describe three cases of liver lesions, characterized by a discrepancy between presurgical imaging and histological features, in which the final histological diagnosis was quite different from what the surgeons expected. We present (1) a case of primary liver angiomyolipoma associated with focal n...

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Detalles Bibliográficos
Autores principales: Franceschini, Tania, Malvi, Deborah, Maroni, Lorenzo, Ravaioli, Matteo, Cescon, Matteo, D’Errico, Antonia, Vasuri, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503595/
https://www.ncbi.nlm.nih.gov/pubmed/32944713
http://dx.doi.org/10.1177/2631774519844947
Descripción
Sumario:We describe three cases of liver lesions, characterized by a discrepancy between presurgical imaging and histological features, in which the final histological diagnosis was quite different from what the surgeons expected. We present (1) a case of primary liver angiomyolipoma associated with focal nodular hyperplasia, (2) a case of perivascular epithelioid cell tumor, and (3) a case of liver splenosis associated with focal nodular hyperplasia. In all cases, a presurgical diagnosis of hepatocellular adenoma was made. Due to nonspecific clinical and radiological features, these rare liver lesions are often presurgically misdiagnosed, especially in young noncirrhotic patients. The association among different lesions represents one additional diagnostic challenge.