Co-existing infantile hepatic hemangioma and mesenchymal hamartoma in a neonate

被引:5
|
作者
Berte, Nicolas [1 ]
Filfilan, Alya [1 ]
Mainard, Laurence [2 ]
Mansuy, Ludovic [2 ]
Lemelle, Jean-Louis [1 ]
机构
[1] CHRU Nancy, Dept Pediat Surg, F-54500 Vandoeuvre Les Nancy, France
[2] CHRU Nancy, Dept Pediat Radiol, F-54500 Vandoeuvre Les Nancy, France
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D O I
10.1093/jscr/rjx260
中图分类号
R61 [外科手术学];
学科分类号
摘要
Infantile hepatic hemangioma (IHH) and mesenchymal hamartoma (MH) form the first and second most common benign hepatic tumors in children. In this case report, we present a newborn child in whom a growing hepatic mass was discovered at the age of 7 days. She suffered also from anemia, respiratory and renal failure. No signs of heart disease or cutaneous lesions were detected. Alpha-fetoprotein was elevated for her age (3562.2 ng/ml). Imaging studies showed multifocal large cystic lesions associated with heterogeneous small solid lesions with arterial enhancement of the liver. Non-anatomical liver resection was performed initially and synchronous MH and IHH GLUT-1 positive were discovered in the pathological analysis. Segmental IV hepatic resection and later on selective cysts excision were done for persistent hepatic lesion despite medical treatment. After 14months of beta-blockers treatment, clinical follow-up shows a healthy child with no residual cystic lesions.
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页数:3
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