A Case of Multiple Cavernous Hemangiomas of the Liver

Junichi Sumimura, Hiroaki Takenaka, Yasuaki Miki, Toshiya Bessho, Toshihiro Oohata, Masayoshi Inoue, Hiroya Yokochi, Keisuke Nose, Senya Ohshima, Isao Nagai, Tomoyuki Tanaka*

Department of Surgery and Pathology*, Kinan General Hospital

We report a 52-year-old man with multiple cavernous hemangiomas in both lobes of the liver. The diameter of his seven tumors ranged from 30 to 63 mm. Computed tomography and ultrasonography suggested a diagnosis of metastatic liver tumors. Magnetic resonance imaging showed low intensity lesions on T1-weighted images and high intensity lesions with a clear margin on T2-weighted images. Hepatic angiography showed pooling of contrast medium from the early arterial phase to the late stage of the venous phase. From the angiography and MRI findings, hemangioma was suspected. Histopathological examination of the resected specimen revealed a diagnosis of cavernous hemangioma. Giant cavernous hemangioma is usually a solitary lesion, so our case is relatively rare and also showed interesting imaging findings.

Key words
cavernous hemangioma of the liver, image diagnosis of hepatic tumor, hepatectomy

Reprint requests
Junichi Sumimura Department of Surgery, Kinan General Hospital
510 Minato, Tanabe City, Wakayama, 646 JAPAN

Accepted
March 3, 1993

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