Perini, Marcos Vinicius;
Fink, Michael Anthony;
Yeo, David Andrew;
Carvalho, Carlos Alberto;
Morais, Carlos Floriano;
Jones, Robert McLaren;
Christophi, Christopher
Primary liver leiomyoma: a review of this unusual tumour
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Medientyp:
E-Artikel
Titel:
Primary liver leiomyoma: a review of this unusual tumour
Beteiligte:
Perini, Marcos Vinicius;
Fink, Michael Anthony;
Yeo, David Andrew;
Carvalho, Carlos Alberto;
Morais, Carlos Floriano;
Jones, Robert McLaren;
Christophi, Christopher
Beschreibung:
<jats:title>Abstract</jats:title><jats:p>Primary liver leiomyoma (<jats:styled-content style="fixed-case">PLL</jats:styled-content>) should be considered in the differential diagnosis of liver lesions. A literature review has been completed and two cases are reported. The first is a 45‐year‐old white woman complaining of vague abdominal pain. She was initially evaluated with abdominal ultrasonography (<jats:styled-content style="fixed-case">US</jats:styled-content>) that revealed a heterogeneous liver mass measuring 18 cm in greatest diameter. The tumour demonstrated hypointensity on <jats:styled-content style="fixed-case">T</jats:styled-content>1‐weighted and hyperintensity on <jats:styled-content style="fixed-case">T</jats:styled-content>2‐weighted magnetic resonance imaging. The second case is a 45‐year‐old Asian male who had undergone kidney transplantation 16 years ago for <jats:styled-content style="fixed-case">IgA</jats:styled-content> glomerulonephritis and who developed mild, self‐limiting epigastric pain. <jats:styled-content style="fixed-case">US</jats:styled-content> showed a 4.3‐cm‐diameter lesion that was predominantly hypoechoic and was either compressing or arising from segment 2 of the liver. Computed tomography showed a well‐circumscribed 4‐cm‐diameter mass that appeared to be arising from segments 2/3 of the liver and was adjacent to the anterior gastric wall. He underwent an uneventful laparoscopic left lateral sectionectomy and discharged on post‐operative day 3. Pathological examination of the resection specimen confirmed the lesion as a <jats:styled-content style="fixed-case">PLL</jats:styled-content> in each case. Herein, we report two cases of <jats:styled-content style="fixed-case">PLL</jats:styled-content> and review the literature regarding this uncommon disorder.</jats:p>