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HOME > J Liver Cancer > Volume 3(1); 2003 > Article
Case Report A Case of Liver Hemangioma Mimicking Hepatocellular Carcinoma
Hang Ju Cho1, Il Young Park1, Young Sok Lee2, Nam Ik Han2, Yeon Su Lim3, Jean A Kim4
Journal of Liver Cancer 2003;3(1):53-56
DOI: https://doi.org/
Published online: July 31, 2003
1Department of Surgery, Medical College, The Catholic University of Korea
2Department of Internal Medicine, Medical College, The Catholic University of Korea
3Department of Radiology, Medical College, The Catholic University of Korea
4Department of Pathology, Medical College, The Catholic University of Korea
Corresponding author:  Il Young Park,
Email: cparkiy@catholic.ac.kr
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Cavernous hemangioma is the most common begin hepatic tumor. But unfortunately, differentiation with hepatocellular carcinoma is quite difficult especially in patients with an underlying liver cirrhosis. A 49-year-old man with alcoholic liver cirrhosis was admitted for evaluation of a hepatic lesion found during a routine follow up. There was no abnormal findings in the physical examination. The HBs Ag, anit-HBs Ab, anti-HCV Ab were all negative, with an AFP level of 3.28 ng/mL. The dynamic CT scan revealed a 2 cm sized mass with a heterogenously enhancement on arterial phase at S6, which became isoattenuation on portal phase and delayed phase. Angiographic study showed a hypervascular mass with an arteriovenous shunt and in the lipiodol CT, a 2 cm sized mass with a lipiodol uptake was detected in the same area. Segmentectomy of S6 was performed under the impression of HCC. The cut surface of the mass had a sponge like feature, and was pathologically defined as cavernous hemangioma. From out experience, we recommentd careful assessment and differentiation of hemangioma and hepatocellular carcinoma to avoid misdiagnosis and MRI might be helpful in this case.


JLC : Journal of Liver Cancer