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World J Hepatol. Jul 27, 2010; 2(7): 292-294
Published online Jul 27, 2010. doi: 10.4254/wjh.v2.i7.292
Published online Jul 27, 2010. doi: 10.4254/wjh.v2.i7.292
Resection of a rapid-growing 40-cm giant liver hemangioma
Andreas JM Koszka, Fabio G Ferreira, Caio GG de Aquino, Maurício A Ribeiro, André S Gallo, Elisa MC Aranzana, Luiz A Szutan, Department of Surgery, Liver and Portal Hypertension Group, Santa Casa School of Medical Sciences, Sao Paulo, Cep 01221-900, Brazil
Author contributions: Koszka AJM, Ferreira FG, Aquino CGG, Ribeiro MA, Gallo AS, Aranzana EMC and Szutan LA made substantial contributions to publication. Since everyone is a member of the Liver and Portal Hypertension Group at our institution, some have participated in the operation and others attended the patient during follow-up.
Correspondence to: Andreas JM Koszka, MD, Department of Surgery, Liver and Portal Hypertension Group, Santa Casa School of Medical Sciences, Sao Paulo 1948-5182, Brazil. andrekoszka@yahoo.com.br
Telephone: +55-11-21767270 Fax: +55-11-33378164
Received: March 2, 2010
Revised: June 16, 2010
Accepted: June 23, 2010
Published online: July 27, 2010
Revised: June 16, 2010
Accepted: June 23, 2010
Published online: July 27, 2010
Abstract
Hemangiomas are the most frequent benign tumors of the liver. Most hemangiomas are asymptomatic and therefore largely diagnosed only in routine screening tests. Usually they are small and require no specific treatment. In some situations they can reach great dimensions, causing some discomfort to the patient. Resection of liver hemangioma is indicated in cases of great dimension tumors causing symptoms such as pain, nausea or bloating caused by compression of adjacent organs. We report a case of a rare giant hemangioma with rapid growth in short time: a 50 year old female reported to our institution with a 40 cm giant liver hemangioma and then underwent a left hepatectomy.