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Liver cell adenoma in a 26-year-old man
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|December 18, 2001
Summary
This case report details a rare liver cell adenoma (LCA) in a young man without typical risk factors. The study highlights diagnostic challenges and surgical management of this uncommon hepatic tumor.
Area of Science:
- Hepatology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Liver cell adenoma (LCA) is a rare benign liver tumor.
- LCA is typically associated with oral contraceptive use in women.
- This case presents an LCA in a male patient with no history of hormonal therapy or liver disease.
Observation:
- A 26-year-old male presented with an asymptomatic hepatic mass discovered during a routine examination.
- Physical and laboratory findings were unremarkable.
- Hepatic arteriography revealed a hypervascular mass in the right liver lobe.
Findings:
- Preoperative diagnosis was challenging due to the risk of bleeding with biopsy.
- Surgical exploration (laparotomy) was performed for diagnosis and treatment.
- Pathological examination confirmed the diagnosis of liver cell adenoma (LCA).
Implications:
- This case underscores the rarity of LCA in men without associated risk factors.
- It emphasizes the diagnostic difficulties and the role of surgical intervention for unexplained hepatic masses.
- The findings contribute to understanding the diverse presentations of liver cell adenomas.

