Clinical review and literature analysis of hepatic epithelioid angiomyolipoma in alcoholic cirrhosis: A case report  

作　　者：Jing-Qiang Guo Jia-Hui Zhou Kun Zhang Xin-Liang Lv Chao-Yong Tu 

机构地区：[1]Department of Hepatobiliary and Pancreatic Surgery,Lishui Municipal Central Hospital,Lishui 323000,Zhejiang Province,China [2]Department of Pathology,Lishui Municipal Central Hospital,Lishui 323000,Zhejiang Province,China [3]Department of General Surgery,The Fifth Affiliated Hospital of Wenzhou Medical University,Lishui 323000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第14期2382-2388,共7页世界临床病例杂志

基　　金：Supported by Natural Science Foundation of Zhejiang Province,No.LY19H030004;and The Lishui City Key Research and Ddevelopment Project,No.2022ZDYF08。

摘　　要：BACKGROUND Hepatic epithelioid angiomyolipoma(HEA)has a low incidence and both clinical manifestations and imaging lack specificity.Thus,it is easy to misdiagnose HEA as other tumors of the liver,especially in the presence of liver diseases such as hepatitis cirrhosis.This article reviewed the diagnosis and treatment of a patient with HEA and alcoholic cirrhosis,and analyzed the literature,in order to improve the understanding of this disease.CASE SUMMARY A 67-year-old male patient with a history of alcoholic cirrhosis was admitted due to the discovery of a space-occupying lesion in the liver.Based on the patient’s history,laboratory examinations,and imaging examinations,a malignant liver tumor was considered and laparoscopic partial hepatectomy was performed.Postoperative pathology showed HEA.During outpatient follow-up,the patient showed no sign of recurrence.CONCLUSION HEA is difficult to make a definite diagnosis before surgery.HEA has the poten-tial for malignant degeneration.If conditions permit,surgical treatment is recom-mended.

关 键 词：Hepatic epithelioid angiomyolipoma Alcoholic cirrhosis Magnetic resonance imaging Computed tomography IMMUNOHISTOCHEMISTRY Misdiagnose analysis Case report 

分 类 号：R735.9[医药卫生—肿瘤]