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Massive hepatic adenoma response to bland embolization: A case study.
Margaret A Sinkler1, Michael Bosley2
1Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Radiology Case Reports
|October 20, 2018
Summary
Arterial embolization effectively reduced a large hepatic adenoma, improving surgical outcomes. This minimally invasive approach offers a promising alternative for treating complex liver tumors.
Area of Science:
- Hepatology
- Interventional Radiology
- Oncology
Background:
- Hepatic adenomas, benign liver tumors, are increasing in incidence.
- Massive, centrally located adenomas pose surgical challenges due to proximity to major blood vessels.
Observation:
- A 22-year-old female presented with a large, asymptomatic hepatic adenoma (14.2 x 11.4 cm).
- The adenoma's central location near hepatic vasculature precluded surgical resection.
Findings:
- Arterial embolization successfully reduced the size and density of the hepatic adenoma.
- Computed tomography identified and embolized feeding arterial branches using embospheres and coils.
Implications:
- Arterial embolization can serve as an effective initial treatment for large hepatic adenomas.
- This approach may enhance outcomes for subsequent surgical interventions in complex cases.
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