Document Detail


Giant mesenchymal hamartoma of the liver in an adult.
MedLine Citation:
PMID:  18987942     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of hepatic mesenchymal hamartoma in an adult; this condition is extremely rare, with only 15 cases having been reported in the English-language literature worldwide. The patient was a 36-year-old woman who was seen at her local hospital for upper abdominal distension. A giant multilocular cystic tumor, which had almost entirely replaced the normal parenchyma of the right lobe of the liver, was diagnosed. She was referred to our hospital, where, with a diagnosis of biliary cystadenoma, the tumor was successfully removed by right hemihepatectomy. After an uneventful postoperative course, the patient was discharged from our hospital. On histological examination, the tumor consisted of numerous cystic lesions without epithelial lining cells; hepatocytes, bile duct, and vascular components, without either lobular structure or atypia, were observed in the pseudocyst wall, leading to a diagnosis of hepatic mesenchymal hamartoma. There have been a few previously reported cases of multifocal hepatic mesenchymal hamartoma reappearing in the remaining liver after hepatectomy, although these cases are considered to be extremely rare. Therefore, periodic follow-up will be necessary for the patient.
Authors:
Ryutaro Mori; Daisuke Morioka; Kaori Morioka; Michio Ueda; Mitsutaka Sugita; Kazuhisa Takeda; Ken-ichi Matsuo; Kuniya Tanaka; Itaru Endo; Hitoshi Sekido; Shinji Togo; Hiroshi Shimada
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-07
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  15     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-06     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  667-9     Citation Subset:  IM    
Affiliation:
Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Yokohama, 236-0004, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cholangiopancreatography, Magnetic Resonance
Diagnosis, Differential
Female
Hamartoma / diagnosis*,  pathology,  surgery*
Hepatectomy / methods
Humans
Liver Diseases / diagnosis*,  pathology,  surgery*
Magnetic Resonance Imaging
Mesoderm / pathology
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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