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2014 | 10 | 1 |
Tytuł artykułu

Our experience of liver Epithelioid Hemangioendothelioma: from a misdiagnosis to liver transplantation with long term follow-up

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Malignant Hepatic Epithelioid hemangioendothelioma (HEHE) is an uncommon vascular tumor of intermediate malignant potential. HEHE is a rare tumor and it is difficult to diagnose for surgeons, hepatologists, radiologists and pathologists. So, misdiagnosis with a delay of the treatment is not uncommon. We describe a case of a young woman with a diagnosis of HEHE made 6 years after the first evidence of liver mass with a very long term follow-up after surgical treatment. She had two diagnoses of Hepatocellurar carcinoma (HCC) and a diagnosis of Cholangiocarcinoma after three different fine needle biopsies. After clinical observation, a new laparoscopic core biopsy was performed. In a first time approach, considering clinical and radiological patterns, a diagnosis of Budd-Chiari Syndrome was finally made. For that the patient underwent an orthotopicliver transplantation (OLTx). The surgical sample histological analysis allowed a definitive diagnosis of HEHE. At last, at follow up 7 years after three OLTx the patient is still alive and in good health with no evidence of recurrence.
Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
otrzymano
2015-10-23
zaakceptowano
2015-11-02
online
2015-12-21
Twórcy
  • Unit of Hepatobiliary Surgery and Liver Transplant Center,
    Department of Gastroenterology and Transplantation,”A. Cardarelli”
    Hospital, Naples, Italy
autor
  • Department of Clinical Medicine and Surgery, University
    of Naples Federico II, Italy
  • Department of Pathology, A. Cardarelli
    Hospital, Naples, Italy
  • Department of Sport Sciences and Wellness, University
    of Naples “Parthenope”, Naples, Italy
  • Unit of Hepatobiliary Surgery and Liver Transplant Center,
    Department of Gastroenterology and Transplantation,”A. Cardarelli”
    Hospital, Naples, Italy
  • Unit of Hepatobiliary Surgery and Liver Transplant Center,
    Department of Gastroenterology and Transplantation,”A. Cardarelli”
    Hospital, Naples, Italy
  • Unit of Hepatobiliary Surgery and Liver Transplant Center,
    Department of Gastroenterology and Transplantation,”A. Cardarelli”
    Hospital, Naples, Italy
autor
  • Unit of Hepatobiliary Surgery and Liver Transplant Center,
    Department of Gastroenterology and Transplantation,”A. Cardarelli”
    Hospital, Naples, Italy
Bibliografia
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0086
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