小児肝血管内皮腫の臨床的検討

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Three cases with infantile hemangioendothelioma of the liver are presented. The lesjon, in all, was solitary and histologically type 1 after Dehner & Ischak. Two boys, who were 4 months old at surgery, are alive and well at 2.8 years and 10 months after lesft lateral segmentectomy and left lobectomy, respectively.<BR>Twenty-fbur reported cases in Japan added with the 3 cases are reviewed and compared with those in western literature. In Japan, the incidence of associated cutaneous hemangioma and congestive heart failure are lower, probably due to low incidence (5 among 26) of multicentric lesion.<BR>Although arteriographies are valuable in establishing the diagnosis, "systematic" examination of hepatic vasculatures, including the inferior vena cava and hpatic veins, are of utmost importance in deciding operability and selecting operative pfocedure.
社団法人日本肝臓学会の論文