Guo JQ, Zhou JH, Zhang K, Lv XL, Tu CY. Clinical review and literature analysis of hepatic epithelioid angiomyolipoma in alcoholic cirrhosis: A case report. World J Clin Cases 2024; 12(14): 2382-2388 [DOI: 10.12998/wjcc.v12.i14.2382]
Corresponding Author of This Article
Chao-Yong Tu, PhD, Occupational Physician, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, No. 289 Kuocang Road, Lishui 323000, Zhejiang Province, China. tcy7409@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2024; 12(14): 2382-2388 Published online May 16, 2024. doi: 10.12998/wjcc.v12.i14.2382
Clinical review and literature analysis of hepatic epithelioid angiomyolipoma in alcoholic cirrhosis: A case report
Jing-Qiang Guo, Jia-Hui Zhou, Kun Zhang, Xin-Liang Lv, Chao-Yong Tu
Jing-Qiang Guo, Kun Zhang, Chao-Yong Tu, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Jia-Hui Zhou, Department of Pathology, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Xin-Liang Lv, Department of General Surgery, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang Province, China
Co-corresponding authors: Xin-Liang Lv and Chao-Yong Tu.
Author contributions: Tu CY and Lv XL contributed equally to the manuscript; Tu CY and Lv XL designed the study; Guo JQ completed the first draft of this manuscript and performed the experiments and data collection; Zhang K was involved in data collection; Zhou JH provided pathological findings; Tu CY revised the manuscript. All authors have read and approved the final version of the manuscript.
Supported byNatural Science Foundation of Zhejiang Province, No. LY19H030004; and The Lishui City Key Research and Ddevelopment Project, No. 2022ZDYF08.
Informed consent statement: The patient and his family provided their written informed consent and agreed to the publication of this case report.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao-Yong Tu, PhD, Occupational Physician, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, No. 289 Kuocang Road, Lishui 323000, Zhejiang Province, China. tcy7409@163.com
Received: February 3, 2024 Revised: March 7, 2024 Accepted: April 3, 2024 Published online: May 16, 2024
Abstract
BACKGROUND
Hepatic epithelioid angiomyolipoma (HEA) has a low incidence and both clinical manifestations and imaging lack specificity. Thus, it is easy to misdiagnose HEA as other tumors of the liver, especially in the presence of liver diseases such as hepatitis cirrhosis. This article reviewed the diagnosis and treatment of a patient with HEA and alcoholic cirrhosis, and analyzed the literature, in order to improve the understanding of this disease.
CASE SUMMARY
A 67-year-old male patient with a history of alcoholic cirrhosis was admitted due to the discovery of a space-occupying lesion in the liver. Based on the patient’s history, laboratory examinations, and imaging examinations, a malignant liver tumor was considered and laparoscopic partial hepatectomy was performed. Postoperative pathology showed HEA. During outpatient follow-up, the patient showed no sign of recurrence.
CONCLUSION
HEA is difficult to make a definite diagnosis before surgery. HEA has the potential for malignant degeneration. If conditions permit, surgical treatment is recommended.
Core Tip: Hepatic epithelioid angiomyolipoma (HEA) is rare, with no specific clinical and imaging manifestations, has the potential of malignancy. In the presence of liver diseases such as cirrhosis, it is easily misdiagnosed as a malignant liver tumor. Characteristic imaging may help to diagnose HEA, but the diagnosis must be made by needle biopsy or histopathology. If conditions allow, active surgical treatment is recommended.
