scholarly journals Multiple hepatic hemangiomas in a Nigerian man

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Abiodun Christopher Jemilohun ◽  
Taofeek Abiodun Ajadi ◽  
Modupeola Maria Bello

Hepatic hemangiomas are benign tumors of the liver which are often found incidentally. We present a 34-years-old man with a two-month history of upper abdominal pain and incidental finding of multiple hepatic masses. The patient sought medical attention at several healthcare facilities where he posed a diagnostic dilemma before he was referred to us. Computed tomographic scan revealed four hypodense hepatic nodules of varying sizes. The nodules demonstrated peripheral enhancement with progressive centripetal filling till they were totally filled during the delayed phase. Abdominal ultrasonography confirmed the four hepatic lesions. The largest lesion was in the left lobe measuring 73×72 mm while the smallest was in the right lobe (24×20 mm). All the masses demonstrated increased vascularity on color Doppler imaging. The paucity of reported cases of hepatic hemangioma in Nigeria, the multiplicity of the tumor and the giant size of one of them make this case remarkable and reportable.

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohit Godar ◽  
Qinghai Yuan ◽  
Rukeshman Shakya ◽  
Yang Xia ◽  
Pengguo Zhang

We report a case of mixed capillary venous hemangioma of the retroperitoneum in a 61-year-old man. Abdominal ultrasonography showed a mass to be hypoechoic with increased flow in color Doppler imaging. Dynamic contrast-enhanced computed tomography revealed a centripetal filling-in of the mass, located anterior to the left psoas muscle at the level of sacroiliac joint. On the basis of imaging features, preoperative diagnosis of hemangioma was considered and the mass was excised by laparoscopic method. Immunohistochemical studies were strongly positive for CD31 and CD34, and negative for calretinin, EMA, WT1, HMB45, Ki67, synaptophysin, and lymphatic endothelial cell marker D2–40. Histologically, the neoplasm was diagnosed as mixed capillary venous hemangioma.


2007 ◽  
Vol 25 (27) ◽  
pp. 4194-4200 ◽  
Author(s):  
Dirk Timmerman ◽  
Ben Van Calster ◽  
Davor Jurkovic ◽  
Lil Valentin ◽  
Antonia C. Testa ◽  
...  

Purpose To test the value of serum CA-125 measurements alone or as part of a multimodal strategy to distinguish between malignant and benign ovarian tumors before surgery based on a large prospective multicenter study (International Ovarian Tumor Analysis). Patients and Methods Patients with at least one persistent ovarian mass preoperatively underwent transvaginal ultrasonography using gray scale imaging to assess tumor morphology and color Doppler imaging to obtain indices of blood flow. Results Data from 809 patients recruited from nine centers were included in the analysis; 567 patients (70%) had benign tumors and 242 (30%) had malignant tumors—of these 152 were primary invasive (62.8%), 52 were borderline malignant (21.5%), and 38 were metastatic (15.7%). A logistic regression model including CA-125 (M2) resulted in an area under the receiver operating characteristic curve (AUC) of 0.934 and did not outperform a published (M1) without serum CA-125 information (AUC, 0.936). Specifically designed new models including CA-125 for premenopausal women (M3) and for postmenopausal women (M4) did not perform significantly better than the model without CA-125 (M1; AUC, 0.891 v AUC, 0.911 and AUC, 0.975 v AUC, 0.949, respectively). In postmenopausal patients, serum CA-125 alone (AUC, 0.920) and the risk of malignancy index (AUC, 0.924) performed very well. Results were very similar when the models were prospectively tested on a group of 345 new patients with adnexal masses of whom 126 had malignant tumors (37%). Conclusion Adding information on CA-125 to clinical information and ultrasound information does not improve discrimination of mathematical models between benign and malignant adnexal masses.


PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 595-597
Author(s):  
Suzanne Bruce ◽  
Lyn Downe ◽  
Katherine Devonald ◽  
David Ellwood

A preterm infant presented with high-output cardiac failure. Color Doppler imaging of the liver revealed a large hepatic hemangioma. Pulsed-wave Doppler of the proximal aorta was used to monitor non-invasively the reduction in flow through the arteriovenous malformation in response to steroid therapy. The hemangioma resolved completely by 7 weeks of age.


1991 ◽  
Vol 157 (2) ◽  
pp. 293-296 ◽  
Author(s):  
F N Tessler ◽  
B J Gehring ◽  
A S Gomes ◽  
R R Perrella ◽  
N Ragavendra ◽  
...  

1997 ◽  
Vol 7 (1) ◽  
pp. 92-100 ◽  
Author(s):  
H. Atilla ◽  
G. Zilelioğlu ◽  
H. Özdemir ◽  
S. Atilla ◽  
S. Isik

CHEST Journal ◽  
1993 ◽  
Vol 104 (5) ◽  
pp. 1600-1601 ◽  
Author(s):  
Yuang-Shung Liaw ◽  
Pan-Chyr Yang ◽  
Ang Yuan ◽  
Fon-Jou Hsieh ◽  
Sow-Hsong Kuo ◽  
...  

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