engleski

Benign mesenchimal liver hamartoma in an adult male: a case report and review of the literature

Mesenchymal hamartoma of the liver is an uncommon benign lesion seen almost exclusively in children younger than two years of age.The first case was reported in 1903, and until now fewer then 200 cases have been reported. A 38-year-old male complaining of dull subcostal pain lasting for almost 10 months was found on abdominal ultrasound to have a focal lesion of the liver. He was reffer to our Unit where imaging prosedures (ultrasound and computed tomography) revealed a solid lesion, 8 cm in diameter, located in the IVb and V segments of the liver. There were no clear margins between the lesion and the gallblader wall. Alpha-fetoprotein and carcinoembryonic antigen were within normal limits and carbochydrate antigen 19-9 was minimally elevated. Thewre was no evidence of metastatic disease. Ultrasoun-guided biopsy of the lesion was done and pathology report of a biopsy specimen suggested that the tumor was probably a benign mesenchimal hamartoma. The patient underwent a formal bi-segmentectomy (IVb and V segments) with cholecystectomy. definitive pathology report confirmed the diagnosis of a benign mesenchymal hamartoma

Mesenchymal hamartoma; Solid lesion; Benign lesion; Adult male; biopsy; Bi-segmentectomy of the liver

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