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KMID : 0614619930250061356
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Korean Journal of Gastroenterology
1993 Volume.25 No. 6 p.1356 ~ p.1361
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Two Cases of Infantile Hemangioendothelioma of the Liver
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Abstract
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Infantile hemangioendothelioma of the liver is an uncommon tumor either solitary or multicentric. Congestive heart railure is commonly associated with the tumor because the vascular lesions can act as arteriovenous fistula. The patient with
multicentric
lesions usually presents in infancy with hepatomegaly and high output congestive heart fallure. Solitary hepatic hemangioendothelioma has better prognosis because of lower incidence of congestive heart failure, Computerized tomography and
arteriography
are diagnostic. A variety of approches to treatment including resection, radiation, steroid therapy, hepatic artery ligation and embolization have been tried, but those treatments were not uniformly successful. We report two infants with solitary
hepatic hemangioendothelioma completely resected. The only symptom of the tumor was a plapable mass felt shortly after birth. Fortunately, both patients had tumors well localized in the left lobe of the liver. Left hepatic lobectomy was performed
in
both cases without serious morbidity.
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KEYWORD
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