A Case Report of the Ruptured Hepatic Angiosarcoma

Osamu Takahashi¹⁾³⁾, Toru Takahashi¹⁾, Kazuhiro Iwai¹⁾, Yasufumi Mito¹⁾, Yoshinori Suzuki¹⁾³⁾, Eisaku Tsujino¹⁾³⁾, Toshiya Sakai²⁾, Hiroyuki Katoh³⁾ and Akihiro Ishizu⁴⁾

Department of Surgery¹⁾ and Department of Internal Medicine²⁾, Oji General Hospital Division of Cancer Medicine Cancer Medicine, Surgical Oncology³⁾ and Department of Pathophysiology⁴⁾, Hokkaido University School of Medicine

A 68-year-old woman visited a hospital because of right hypochongralgia. She was admitted to our hospital because the hematological test showed anemia and thorombocytopenia, and an abdominal computed tomography (CT) image revealed a lesion occupying a space in the right lobe of the liver. Fourteen days after admission, the patient complained abdominal pain. Ultrasonography (US) showed a rupture of the liver tumor, and transcatheter arterial embolization (TAE) was performed. The anemia gradually worsened, so a right hepatectomy was performed. After the operation, the tumor was histologically diagnosed as a hemagiosarcoma. The post-operative course was uneventful, but the patient's general status continued to gradually worsen. The patient died on the 53 days after admission. This disease is very rare in the primary malignant tumors. However, these tumors must be accurately differentiated from hemangiomas to determine wheter aggressive treatment, including surgical resection.

Key words
hepatic hemagiosarcoma, ruptured liver tumor

Reprint requests
Osamu Takahashi Department of Surgery, Asahikawa Red Cross Hospital 1-1 Akebono, Asahikawa-city, 070-8530, JAPAN

Accepted
February 28, 2001

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