Related Experiment Videos
Hepatocellular adenoma: imaging findings and pathological correlation
S Giusti1, F Donati, A Paolicchi
1Department of Diagnostic and Interventional Radiology, University of Pisa, Via Roma 67, 56127 Pisa, Italy. s.giusti@med.unipi.it
Summary
A large hepatocellular adenoma was diagnosed in a 45-year-old man presenting with gastrooesophageal reflux and abdominal pain. Advanced imaging and histopathology confirmed the 18cm x 16cm liver tumor.
Area of Science:
- Hepatobiliary medicine
- Gastroenterology
- Diagnostic imaging
Background:
- Hepatocellular adenomas are rare benign liver tumors, typically occurring in women of reproductive age using oral contraceptives.
- While often asymptomatic, large adenomas can cause abdominal pain and gastrointestinal symptoms.
Observation:
- A 45-year-old male presented with a one-week history of gastrooesophageal reflux, epigastric discomfort, and right upper quadrant abdominal pain.
- Physical examination revealed a palpable abdominal mass.
Findings:
- Abdominal ultrasonography, contrast-enhanced spiral computed tomography (CT), and magnetic resonance imaging (MRI) were performed.
- Imaging demonstrated a large liver mass measuring 18 cm x 16 cm.
- Histopathological analysis confirmed the diagnosis of hepatocellular adenoma.
Implications:
- This case highlights that hepatocellular adenomas can occur in men and present with significant symptoms.
- Multimodality imaging is crucial for characterizing liver lesions.
- Early diagnosis and appropriate management are essential for preventing complications such as hemorrhage or malignant transformation.