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KMID : 1040620180240020163
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Clinical and Molecular Hepatology
2018 Volume.24 No. 2 p.163 ~ p.168
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Living-donor liver transplantation for giant hepatic hemangioma with diffuse hemangiomatosis in an adult: a case report
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Lee Ju-Hyun
Yoon Chang-Jin
Kim Young-Hoon
Han Ho-Seong
Cho Jai-Young
Kim Hae-Ryoung
Jang Eun-Sun
Kim Jin-Wook
Jeong Sook-Hyang
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Abstract
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Hepatic hemangioma represents the most common benign primary hepatic neoplasm. Although most such tumors are small and asymptomatic, giant hepatic hemangioma is frequently symptomatic, and requires intervention. Moreover, diffuse multiple hepatic hemangiomatosis occupying almost the entire liver is extremely rare in adults, and the optimal management for this condition is unclear. We report a case of a rapidly growing, symptomatic giant hepatic hemangioma with diffuse hepatic hemangiomatosis in a 50-year-old female patient who was treated by living-donor liver transplantation. This case shows malignant behavior of a benign hemangioma that required liver transplantation. Although this case could not meet the criteria for transplantation according to the MELD (model for end-stage liver disease) score system, it should be considered as an exceptional indication for deceased-donor liver allocation. Further studies of the mechanism underlying hemangioma growth are warranted.
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KEYWORD
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Hemangioma, Hemangiomatosis, Hepatic neoplasm, Liver transplantation
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