Hepatic epithelioid angiomyolipoma with arterioportal venous shunting mimicking hepatocellular carcinoma: report of a case

Yu Saito; Mitsuo Shimada; Tohru Utsunomiya; Yuji Morine; Satoru Imura; Tetsuya Ikemoto; Hiroki Mori; Jun Hanaoka; Koji Sugimoto; Shuichi Iwahashi; Shinichiro Yamada; Michihito Asanoma; Hiroki Ishibashi

doi:10.2152/jmi.60.262

Case reports

Hepatic epithelioid angiomyolipoma with arterioportal venous shunting mimicking hepatocellular carcinoma: report of a case

Yu Saito, Mitsuo Shimada, Tohru Utsunomiya, Yuji Morine, Satoru Imura, Tetsuya Ikemoto, Hiroki Mori, Jun Hanaoka, Koji Sugimoto, Shuichi Iwahashi, Shinichiro Yamada, Michihito Asanoma, Hiroki Ishibashi

著者情報

Yu Saito
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Mitsuo Shimada
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Tohru Utsunomiya
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Yuji Morine
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Satoru Imura
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Tetsuya Ikemoto
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Hiroki Mori
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Jun Hanaoka
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Koji Sugimoto
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Shuichi Iwahashi
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Shinichiro Yamada
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Michihito Asanoma
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Hiroki Ishibashi
Department of Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School

キーワード: hepatic epithelioid angiomyolipoma, arterioportal venous shunting, differential diagnosis from hepatocellular carcinoma, laparoscopic hepatectomy

ジャーナルフリー

2013 年 60 巻 3.4 号 p. 262-266

DOI https://doi.org/10.2152/jmi.60.262

詳細

抄録

A patient with hepatic epithelioid angiomyolipoma (Epi-AML) with arterioportal venous shunting, who was successfully treated by a laparoscopic left lateral sectionectomy, is presented herein. AML is an uncommon benign neoplasm of the liver. Tumors composed predominantly of epithelioid cells have been subcategorized into Epi-AML, and the treatment strategy for Epi-AML is currently undetermined. There are no reports describing Epi-AML with arterioportal venous shunting to date. An arterioportal venous shunting of the liver tumor was suggested to be one of the malignant signs of the liver tumor. It would be important to differentiate Epi-AML with arterioportal venous shunting from hepatocellular carcinoma and hypervascular metastatic tumors. Minimally invasive resection, such as laparoscopic hepatectomy, for patients having Epi-AML with arterioportal venous shunting may be recommended. J. Med. Invest. 60: 262-266, August, 2013

責任著者(Corresponding author)

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