Author:
Moors G,Poels H,Vandecaveye V,Roskams T,Verslype C
Abstract
Hepatocellular adenoma (HCA) is an uncommon benign liver neoplasm usually solitary and identified incidentally on imaging. We report a case of a 50-year old female who was diagnosed with multiple hepatic adenomas of the inflammatory subtype. After discontinuation of oral contraception a decrease of both the number and size of the liver lesions was seen on magnetic resonance imaging (MRI) without the need of further intervention. The major challenge in the clinical management of patients with multiple HCAs resides in the risk assessment for future complications. In the case of multiple HCAs subtype seemed to be more relevant than the actual number of lesions. Because little is known about the natural evolution in patients with multiple HCAs, we performed a review of the current literature with focus on the different subtypes and their clinical relevance.
Reference13 articles.
1. EASL Clinical practice guidelines on the management of benign liver tumours. J. Hepatology, 65(2), 386-398.
2. RENZULLI M., CLEMENTE A., TOVOLI F., CAPPABIANCA S., BOLONDI L., GOLFIERI R. Hepatocellular adenoma: an unsolved diagnostic enigma. World J. Gastroenterol., 2019, 25 (20) : 2442-2449.
3. DEHON R., SCAGNOL I., KOMUTA M., GOMEZ-GALDON M., DEMETTER P. Inflammatory hepatocellular adenoma, focal nodular hyperplasia and hepatic granulomas in one single patient: possible physiopathologic explanations. Acta Gastroenterol. Belg., 2020, 83 : 83-85.
4. TSILIMIGRAS DI., RAHNEMAI-AZAR AA., NTANASIS-STATHO-POULOS I., GAVRIATOPOULOU M., MORIS D., SPARTALIS E., et al. Current approaches in the management of hepatic adenomas. J. Gastrointest. Surg., 2019, 23 (1) : 199-209.
5. GONÇALVES D., LEITE JP., SILVA R., PISSARRA AP., CAETANO OLIVEIRA R., SILVA D. Hepatic adenomatosis : a challenging liver disease. GE Port. J. Gastroenterol., 2020, 27 : 37-42.
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