Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Case report
A patient with an angiomyolipoma of the liver in whom the course of enlargement could be confirmed
Noriaki UNEDAHaruo IMAMURAShuji TADAKentaro KAMIKAWAKouichi KUDOHideto CHIKAZAWAShuichi MIYASEHironobu SUKOKazuhiko HIROTAJoji URATAKatsuhiko MITSUZAKITakihiro KAMIO
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2008 Volume 105 Issue 9 Pages 1375-1383

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Abstract
The patients was a 54-year-old woman. In the liver, a high-echo phyma was detected. The lesion increased from 5 to 23mm over 2 years and 4 months. On CT and MRI, it was difficult to differentiate the phyma from hepatocellular carcinoma. However, angiography revealed early outflow to the hepatic vein. In the late CTHA phase of angio-CT, there was no ring-like dark staining reaction (corona), as observed in hepatocellular carcinoma patients, outside the tumor. Hepatectomy was performed, suggesting angiomyolipoma. The course of enlargement could be followed-up, and we present findings that may be useful for differentiating this tumor from hepatocellular carcinoma.
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© 2008 by The Japanese Society of Gastroenterology
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