scholarly journals A benign liver tumor mimics hepatic metastasis from colon cancer

2010 ◽  
Vol 4 (3) ◽  
pp. 463-467
Author(s):  
Napa Parinyanitikul ◽  
Laddawan Vajragupta ◽  
Naruemon Klaikaew ◽  
Boonchoo Sirichindakul ◽  
Virote Sriuranpong

Abstract Background: Liver is the most common distant metastasized organ in advanced colon cancer. Surgical resection of metastatic lesions would offer the best chance of a long-term survival. An accurate diagnosis and evaluation of extent of disease is crucial in the management of liver metastasis. Objective: Report a benign hepatic condition mimicking liver metastasis in a colon cancer patient. Case presentation: A 53-year-old male with an early stage sigmoid colon cancer was treated with sigmoidectomy followed by adjuvant chemotherapy consisting of 5-FU, leucovorin, and oxaliplatin for six months. Annual computerized tomography of abdomen at two years after the surgery revealed three hypervascular nodules in the liver. Investigations including MRI of the liver and whole body FDG-F18 PET/CT demonstrated evidence consistent with non-metastatic liver nodules. Liver biopsy of one of the lesions led to the diagnosis of “focal nodular hyperplasia”. Conclusion: The possible etiology, diagnosis, and further management of this benign liver tumor, the focal nodular hyperplasia became clear.

2019 ◽  
Vol 1 (1) ◽  
pp. 16-21
Author(s):  
José J. Gómez-Ramos ◽  
◽  
María G. Ascencio-Rodríguez ◽  
Alejandro Marín-Medina ◽  
Moises Alejandro Alatorre Jimenez ◽  
...  

Focal nodular hyperplasia (FNH) is considered the second most frequent benign liver tumor with a low prevalence, with a broad predominance in the female population. Most cases are asymptomatic and are often discovered incidentally. Diagnostic imaging through MRI, CT, and ultrasound can be achieved in up to 80% of cases. In some cases, a histopathological study may be necessary, especially in view of the diagnostic uncertainty and suspicion of malignancy. To date, the management of these lesions remains controversial, conservative management is recommended for asymptomatic or small lesions, relegating surgical treatment only in cases of symptomatic lesions or uncertain behavior.


2006 ◽  
Vol 72 (6) ◽  
pp. 555-559 ◽  
Author(s):  
Mario P. Demarco ◽  
Perry Shen ◽  
Robert F. Bradley ◽  
Edward A. Levine

Focal nodular hyperplasia (FNH) is a common benign liver tumor that is often confused with hepatic adenoma. Despite the benign course of both lesions, hepatic adenomas are associated with rupture and bleeding, and suggested management often includes prophylactic surgical resection. FNH lesions are thought to not rupture or bleed, and traditional management does not include resection. We report the case of a woman with FNH who presented with intraperitoneal hemorrhage after the rupture of a FNH lesion. Only six previous documented cases of hemoperitoneum associated with FNH have ever been reported. This report reviews all previously recorded cases of FNH lesions that have resulted in intraperitoneal hemorrhage. We suggest that although FNH is a benign lesion and intervention is typically unnecessary, the potential for rupture requiring surgical resection should always be considered.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yoshitsugu Yanagida ◽  
Takahiro Amano ◽  
Ryuji Akai ◽  
Akira Toyoshima ◽  
Jotaro Kobayashi ◽  
...  

Abstract Background Tumor thrombus in the superior mesenteric vein secondary to colon cancer is rare. We report a case of tumor thrombus in the superior mesenteric vein and liver metastasis due to advanced colon cancer that was treated with chemotherapy and complete surgical resection. Case presentation A 72-year-old man after transverse colectomy with lymph node dissection for advanced colon cancer was diagnosed with tumor thrombus in the superior mesenteric vein and liver metastasis. He underwent adjuvant chemotherapy and had complete surgical tumor resection involving tumor thrombectomy and hepatectomy. There has been no recurrence at 36 months after surgery. Conclusion Herein, we report a rare case of tumor thrombus in the superior mesenteric vein related to advanced colon cancer. The combination of chemotherapy and complete surgical tumor resection may provide long-term survival.


1991 ◽  
Vol 24 (11) ◽  
pp. 2758-2762 ◽  
Author(s):  
Hriomi Hamada ◽  
Takayoshi Yasuda ◽  
Yoshio Katsuki ◽  
Kouichi Kudou ◽  
Hidenori Yamaguchi ◽  
...  

2015 ◽  
Vol 60 (1) ◽  
pp. 173-177 ◽  
Author(s):  
Oskar Kornasiewicz ◽  
Michał Grąt ◽  
Krzysztof Dudek ◽  
Zbigniew Lewandowski ◽  
Zuzanna Gorski ◽  
...  

2002 ◽  
Vol 37 (10) ◽  
pp. 1237-1240 ◽  
Author(s):  
H.-J. Gassel ◽  
I. Klein ◽  
W. Timmermann ◽  
W. Kenn ◽  
A. M. Gassel ◽  
...  

1923 ◽  
Vol 19 (6) ◽  
pp. 10-18
Author(s):  
M. I. Goldstein

The recognition of a benign liver tumor in an intact abdominal wall is often a very difficult and sometimes even impossible task for the therapists. This rarity of the disease gives us grounds to dwell on a case of benign liver tumor, which we observed in the Therapeutic Department of Kaz. Clinical Institute.


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