LIVER CELL ADENOMA: A CASE REPORT AND REVIEW OF JAPANESE LITERATURES

Abstract

A 22-year-old female admitted to The Japanese Red Cross Nagoya First Hospital in October 1985, complaining of epigastic pain. Two years earlier, she had an episode of taking clomifen citrate for 3 months. Upper GI series revealed an extra-gastric mass compressing on the lesser curvature of the upper body. Ultrasonography revealed a 6X5 cm solid mass in the left lobe of the liver. Peritoneoscopy and celiac angiography revealed a vascular-rich tumor. Surgical operation was done, and the resected specimen showed an encapsulated tumor of 6X5.5X3 cm in size. The cut surface was white-yellow. His-tologically, the tumor showed typical features of liver cell adenoma (LCA). Among 33 cases of LCA reported in Japan, 6 had an episode of taking contraceptives or hormonal dilivertives. In Japan, oral contraceptives are now planned to go on the public market, so we shoud take careful consideration to LCA when we encountered a patient with liver tumor.