1/68. Giant cavernous hemangioma of the scalp.In this article, a quite rare giant cavernous hemangioma located in right frontoparietal region of a 16 year-old boy is presented. Cavernous hemangiomas are commonly seen in extremities, neck, face and sometimes scalp, cutaneous or subcutaneous in localization. Giant cavernous hemangioma in the right frontoparietal region have been seen in two cases so far. In this article, we discussed the differential diagnosis, characteristics and therapy methods of giant cavernous hemangioma of the scalp.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/68. polymyalgia rheumatica as a manifestation of a large hepatic cavernous hemangioma.A 59-year-old woman presented with polymyalgia rheumatica which was refractory to conventional anti-inflammatory and steroid therapy. A full investigation for an underlying occult malignancy showed only the presence of a giant cavernous hepatic hemangioma. To our knowledge, polymyalgia rheumatica has never been described in association with giant cavernous hepatic hemangioma; resection of the latter lesion resulted in complete and, to this date, definite resolution of rheumatologic complaints in our patient.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/68. Giant hepatic hemangioma with kasabach-merritt syndrome: is the appropriate treatment enucleation or liver transplantation?We present a case of giant cavernous hemangioma of the liver with disseminated intravascular coagulopathy (kasabach-merritt syndrome) which was cured by enucleation. The 51 year old woman presented with increased abdominal girth and easy bruisability. Workup elsewhere revealed a massive hepatic hemangioma and she was started on radiation therapy to the lesion and offered an orthotopic liver transplant. After careful preoperative preparation, we felt that resection was possible and she underwent a successful enucleation. The operation and postoperative course were complicated by bleeding but she recovered and remains well in followup after 6 months. All coagulation parameters have returned to normal. Enucleation should be considered the treatment of choice for hepatic hemangiomas, including those presenting with kasabach-merritt syndrome. The benefits of enucleation as compared to liver transplantation for these lesions are discussed.- - - - - - - - - - ranking = 0.5keywords = giant (Clic here for more details about this article) |
4/68. Capsular retraction in hepatic giant hemangioma: CT and MR features.We report two cases of hepatic giant hemangiomas with capsular retraction of the liver adjacent to the tumor on computed tomography and magnetic resonance images. Our cases show that the retraction of the liver capsule adjacent to the tumor is not a finding specific to malignant hepatic tumors but can also be observed in benign hepatic tumors.- - - - - - - - - - ranking = 2.5keywords = giant (Clic here for more details about this article) |
5/68. Hepatic capsular retraction: unusual finding of cavernous hemangioma.We report a case of hepatic giant hemangioma, which showed hepatic capsular retraction on CT and MRI. Pathologic examination revealed fibrosis combined with hemangioma, especially in a subcapsular location, which was responsible for the capsular retraction.- - - - - - - - - - ranking = 0.5keywords = giant (Clic here for more details about this article) |
6/68. Cavernous hemangioma of the liver with giant cyst formation: degeneration by apoptosis?Cavernous hemangioma of the liver with cyst formation is a very rare condition. A case of cavernous hemangioma of the liver with unilocular giant cyst formation undergoing surgical removal is reported. Notably, the patient also had budd-chiari syndrome with an obstructing lesion in the inferior vena cava. The cystic degeneration of the hemangioma implied a relationship with apoptosis. This is the first reported case of budd-chiari syndrome caused by advanced cystic degeneration of hepatic cavernous hemangioma.- - - - - - - - - - ranking = 2.5keywords = giant (Clic here for more details about this article) |
7/68. Laparoscopic enucleation of giant liver hemangioma.The cavernous hemangioma is the most common benign tumor of the liver. It usually becomes symptomatic as it reaches a certain size. A 49-year-old man was admitted with a 1-year history of epigastric pain, which was not relieved by regular analgesic intake, and nausea. The results of physical examination, routine laboratory tests, and upper gastrointestinal tract endoscopy were normal. ultrasonography showed a 10-cm mass in the left hepatic lobe. Magnetic resonance imaging (MRI) showed a 90-mm hemangioma at left hepatic lobe. Selective celiac arteriogram was performed, and polyvinyl alcohol particles were used as an embolizing agent. After the embolization, the patient underwent laparoscopic enucleation of the liver hemangioma. No blood transfusion was needed during the operation. The operative time was 75 min. The patient was allowed to take a clear liquid diet on the postoperative day 1. The postoperative course of the patient was uneventful, and he was discharged on the postoperative day 2. Enucleation is the best surgical technique for the management of symptomatic giant hemangiomas. It can be performed with no mortality or morbidity, with preservation of all normal liver parenchyma. Enucleation also has been associated with significantly fewer intraabdominal complications than anatomic resection. The laparoscopic approach for enucleation requires patience and careful dissection to prevent bleeding. In conclusion, laparoscopic enucleation of hemangiomas is safe and easy to perform in selected cases.- - - - - - - - - - ranking = 2.5keywords = giant (Clic here for more details about this article) |
8/68. Giant cavernous haemangioma with kasabach-merritt syndrome: a case report and review.We report the case of a 4-month-old boy presenting with a giant cutaneous haemangioma complicated by kasabach-merritt syndrome (KMS) with severe thrombocytopenia. After poor response to corticosteroid therapy and subsequent treatment with interferon alpha-2a, radiotherapy led to tumour regression and resolution of the disseminated intravascular coagulopathy over a 14-month period of follow up. Whereas the various available treatment options are reviewed and discussed in this article, the therapy of choice should be chosen individually. CONCLUSION: to date prospective randomised and controlled trials are required to investigate the optimal management of patients with kasabach-merritt syndrome.- - - - - - - - - - ranking = 0.5keywords = giant (Clic here for more details about this article) |
9/68. Living donor liver transplantation for giant hepatic hemangioma with kasabach-merritt syndrome with a posterior segment graft.We present a case of a giant hepatic hemangioma with kasabach-merritt syndrome, which was cured by living donor liver transplantation. A 48-year-old woman complained of abdominal fullness and appetite loss. The laboratory data showed disseminated intravascular coagulation and a morphologic evaluation revealed a giant hepatic hemangioma involving both lobes of the liver. Living donor liver transplantation was indicated for kasabach-merritt syndrome and an unresectable liver tumor. A posterior segment graft was used because the remnant liver volume of the donor might have been too small to sustain the liver function of the donor. The postoperative course was uneventful, and the recipient was discharged from hospital on day 15 after the transplantation without complications.- - - - - - - - - - ranking = 3keywords = giant (Clic here for more details about this article) |
10/68. Embolization of hepatic hemangiomas in infants.A small number of cavernous liver hemangiomas in infants cause serious symptoms, requiring active treatment. We report two newborns with giant liver hemangiomas, treated by intra-arterial embolization. The babies presented at 2 - 8 days after birth with tachypnoea and cardiac dilation. A giant liver hemangioma located in the right liver lobe in one infant and in the left liver lobe in the other was found at ultrasonography and computed tomography. Dilated liver veins indicated abnormal shunting of the blood through the hemangiomas. Because of progress of symptoms superselective embolization of the arteries feeding the hemangiomas and arising from the celiac trunk was performed with a mixture of Lipoidol and Histoacryl. A decrease of tachypnoea and of heart volume was noted after embolization. In one infant surgery was necessary due to gastrointestinal bleeding. The intra-arterial embolization is a valuable method for the treatment of newborns with symptomatic cavernous liver hemangiomas.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
| | Next -> |