肝全体にびまん性の発育形態を示した肝血管肉腫の1例

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A 47-year-old male without any history of thorotrast injection, inhalation of vinyl chloride and another specific causes, was admitted to our hospital because of closer examination of dark urine and pretibial edema. On admission, the physical examination showed jaundice, hepatomegaly but could not demonstrated any vascularspider or palmar erythema.<BR>The computed tomography (CT) imaging of the whole liver showed a pattern with a mixture of high and low density area, and the low density area was irregularly and strongly enhanced. However, the findings of abdominal ultrasonography (US), magnetic resonance imaging (MRI), hepatic angiography and laparoscopy had indicated cavernous hemangioma which occupied the whole liver but could not demonstrate any malignant signs. However, the progression of jaundice and anemia was very rapid, that could clinically imply his hepatic tumor to be malignant. Finally he died in 103 days after admission, and the findings of the autopsy revealed of typical hepatic hemangiosarcoma.