Hepatic epithelioid angiomyolipoma: contribution of a new case

González, María Ángeles Valero; Delgado, Yolanda Núñez; Muñoz, Ana Milena

doi:10.17235/reed.2019.6388/2019

Cited by 3 publications

(1 citation statement)

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“…Among 105 patients reported in the literature, 12 patients had hepatitis B virus (HBV), and two had hepatitis C virus infection (Table 2). 1,6,12,16–46 Few patients were found to have HEAML complicated with HBV. However, hepatitis B-positive patients with HCC are quite common, so the diagnosis and treatment of patients requires care to avoid misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Hepatic epithelioid angiomyolipoma is scattered and unsuitable for surgery: a case report

Cai

Sun²,

Deng

et al. 2023

J Int Med Res

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Hepatic epithelioid angiomyolipoma (HEAML) is a rare tumour of mesenchymal tissue with a malignant tendency. Occurring most frequently in women, the relative incidence in men and women, according to incomplete statistics, is approximately 1:5. In rare cases, disease occurrence and development is hidden. Lesions are generally discovered as chance findings by patients; abdominal pain is the first symptom, and imaging has no specificity in diagnosing the disease. Therefore, great difficulties exist in the diagnosis and treatment of HEAML. Here, the case of a 51-year-old female patient with a history of hepatitis B, and abdominal pain over 8 months as the initial symptom, is described. The patient was found to have multiple intrahepatic angiomyolipoma. Due to the small and scattered foci, complete resection was impossible, and because of her history of hepatitis B, conservative treatment was undertaken, with the patient undergoing regular follow-up. When hepatic cell carcinoma could not be excluded, the patient was treated with transcatheter arterial chemoembolization. No tumour neogenesis or metastasis was detected at the 1-year follow-up.

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