A Case of Liver Hemangioma Diagnosed by Needle Biopsy on Account of The Difficulty of Macroscopic Diagnosis

Abstract

A 59-year-old female was diagnosed clinically as liver cirrhosis. An association of hepatoma was strongly suspected because her liver scintigram indicated a space-occpying lesion, the hepatic arteriography showed a tumor-like stain, and alpha-fetoprotein elevated significantly. On petitoneoscopy, a small cavernous hemangioma was discovered on the left liver lobe. Several small nodules were also observed on the right liver lobe, of which the diagnosis were not clear macroscopically. Needle biopsy was carried out, and a diagnosis of hemangioma was established. With the presentation of this case, the value of liver biopsy under peritoneoscopic control was discussed and the way of hemostasis was demonstrated.