Sclerosed hemangioma of the liver: Report of a case and review of the literature

Abstract

A sclerosed hemangioma of the liver is an extremely rare type of benign hepatic tumor. A 77-year-old female was referred to Tokushima University Hospital with fever, abnormal liver function tests and a large liver mass. The tumor, 10 x 5 cm in size and located in segment 5-6 of the liver, was depicted as a low density tumor with enhancement by computed tomography (CT). Magnetic resonance imaging (MRI) showed it to be a tumor with a low signal on T1-weighted and a high signal on T2-weighted images. The patient was negative for hepatitis B surface antigen and hepatitis C antibody. She underwent a right hepatectomy for possible malignant liver tumors, including intrahepatic cholangiocarcinoma or fibrolamellar hepatocellular carcinoma. The following histological examination of the surgical specimen revealed the tumor to be a hepatic sclerosed hemangioma with characteristic dense collagenous tissues. We report here on the case of this unusual tumor and review the relevant literature.

Hepatic screlosed hemangioma which was misdiagnosed as metastasis of gastric cancer: report of a case

“…In our case, plain CT showed hepatic screlosed hemanangioma as low density, and enhanced CT showed a ring enhancement pattern, which is characteristic of adenocarcinoma. Although cavernous hemangioma shows typical features : low density on plain CT and delayed pooling enhancement, many previous reports have not shown this feature in sclerosed hemangioma (5)(6)(7)(8)(9)(10)(11)(12). MRI finding in our case was fit to typical feature of cavernous hemangioma, such as low on T1 and high on T2 weighted images, but this feature can be also observed in the cases of metastatic liver tumors and cholangiocellular carcinoma.…”

Sclerosed hemangioma of the liver: possible diagnostic value of diffusion-weighted magnetic resonance imaging

“…However, this method has a potential risk of abdominal dissemination of tumor cells when the liver mass is malignant. 5 Therefore, we ultimately decided against this option. In recent years, there have been a small number of reports in which DWI and DWI-based ADC were successfully used to detect and differentiate liver tumors.…”

“…3 Although Doyle et al 4 have shown the imaging features of 10 SH lesions, the preoperative diagnosis of SH remains problematic. 5 Among the numerous magnetic resonance (MR) sequences available, diffusion-weighted imaging (DWI) has recently been the frequent choice for evaluating liver disease. Previous reports have demonstrated the feasibility of using DWI for the detection and characterization of liver tumors.…”

Multiple hepatic sclerosing hemangioma mimicking metastatic liver tumor successfully treated by laparoscopic surgery: Report of a case

“…Sclerosing hemangioma is a rare type of hepatic hemangioma composed of abundant acellular hyalinized tissue in which small vessels are occasionally seen [1] . Only 17 resected cases, including the present case, with detailed information on patients with hepatic sclerosing hemangioma have been reported in the English literature ( Table 1 ) [3–17] . To the best of our knowledge, this report is the first to describe multiple hepatic sclerosing hemangiomas treated by laparoscopic surgery.…”