Primary Hepatic Leiomyoma in a Transplant Patient

Raber, Earl; Cheng, Ah-Ling; Dong, Weifeng; Sutherland, Francis

doi:10.1097/tp.0b013e31823ec0cf

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…CT findings in leiomyoma of the liver have been variously reported in the cases reviewed as hypodense lesions with strong enhancement in both arterial and portal phase [ 5 , 11 , 13 , 21 , 23 , 36 , 38 ] with some reports describing peripheral rim enhancement [ 8 , 37 ]. An increased enhancement in the arterial phase and a sustained homogeneous enhancement in both hepatic venous and equilibrium phases have also been reported [ 39 ] ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

Primary Leiomyoma of the Liver: A Review of a Rare Tumour

Omiyale

2014

HPB Surgery

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Context. Primary leiomyoma of the liver is a rare tumour with uncertain pathogenesis with similar presentation with other tumours of the liver. Little is known about its clinical course. Objectives. To review the literature for case reports of primary leiomyoma of the liver. Methods. Extensive literature search was carried out for case reports of primary leiomyoma of the liver. Results. A total of 36 cases of primary leiomyoma of the liver were reviewed. The mean age of presentation is 43 years with slight female sex affectation; females accounted for 55.6% of the cases reported in the literature. The average size of the tumour is 8.7 cm. 34.4% of the cases reviewed were incidental finding with the mean follow-up time of 33 months with most cases reporting no evidence of disease. Conclusions. Primary leiomyoma of the liver is very rare tumour with complex pathogenesis which remains largely unknown. Imaging of the tumour does not allow for a tissue specific diagnosis; hence histological review of the tissue specimen and immunohistochemical stains are imperative for diagnosis. Surgical resection is both diagnostic and curative. The diagnosis of primary leiomyoma of the liver should be considered as a differential in the management of liver tumours.

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Section: Discussionmentioning

confidence: 99%

Primary Leiomyoma of the Liver: A Review of a Rare Tumour

Omiyale

2014

HPB Surgery

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A Healthy Woman With a Ball in the Upper Abdomen

2014

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A Firm Hepatic Mass Cannot Be Penetrated by US-Guided Needle Biopsy

Jang¹,

Kim²,

Sohn³

et al. 2016

Clin Ultrasound

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Primary hepatic leiomyoma (PHL) is a rare benign tumor, with only 36 cases reported in the international literature, and its pathogenesis is not clear. Here we report a rare case of PHL diagnosed with coexisting gastric cancer. An asymptomatic, 57-year-old man without any significant medical history was referred to our hospital because of early gastric cancer and a hepatic mass. His physical examination was unremarkable. The laboratory tests and tumor markers, including alpha fetoprotein, CA 19-9, and carcinoembryonic antigen, were within the normal range. Viral hepatitis serology was negative. Computed tomography revealed the hepatic mass was 33 mm in size in segment II of the liver. He underwent a US-guided needle biopsy, but we could not obtain a biopsy specimen, as the firmness of the liver mass made it impossible to put the needle through into the core. Hence, he underwent a diagnostic laparoscopic wedge resection. The mass was histologically typical for a leiomyoma.

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Primary Hepatic Leiomyoma in a Transplant Patient

Cited by 4 publications

References 8 publications

Primary Leiomyoma of the Liver: A Review of a Rare Tumour

Primary Leiomyoma of the Liver: A Review of a Rare Tumour

A Healthy Woman With a Ball in the Upper Abdomen

A Firm Hepatic Mass Cannot Be Penetrated by US-Guided Needle Biopsy

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