title: [Epithelioid hemangioendothelioma of the liver diagnosed by laparoscopy guided biopsy].
abstract: A 35-year-old woman was admitted to our hospital for right upper quadrant pain and multiple liver tumor were detected by diagnostic imaging. Tumors located near the surface of the liver which accompanied capsular retraction. Diagnostic laparoscopy showed multiple white tone tumors with retraction of the adjacent liver capsule. Tumor targeted biopsy was performed. The pathologic diagnosis of epithelioid hemangioendothelioma (EHE) was made by the positive staining of factor VIII-related antigen. EHE tend to locate in peripheral and extend to the liver capsule. Therefore, we face difficulties in getting biopsy sample safely. Here we report a useful case of laparoscopic examination and biopsy in the diagnosis of EHE.
authors.affiliation: Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital.
authors.forename: Nobutoshi
authors.initials: N
authors.lastname: Komatsu
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kurosaki
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sato
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Tanaka
authors.forename: Itsuko
authors.initials: I
authors.lastname: Hirayama
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yasui
authors.forename: Naoki
authors.initials: N
authors.lastname: Umeda
authors.forename: Takanori
authors.initials: T
authors.lastname: Hosokawa
authors.forename: Ken
authors.initials: K
authors.lastname: Ueda
authors.forename: Kaoru
authors.initials: K
authors.lastname: Tuchiya
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakanishi
authors.forename: Jun
authors.initials: J
authors.lastname: Itakura
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Asahina
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Akasaka
authors.forename: Koutarou
authors.initials: K
authors.lastname: Matsunaga
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Taki
authors.forename: Masamichi
authors.initials: M
authors.lastname: Kojiro
authors.forename: Namiki
authors.initials: N
authors.lastname: Izumi
mesh_terms: D000328:Adult; D001706:Biopsy / Q000379:methods; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D018323:Hemangioendothelioma, Epithelioid / Q000175:diagnosis* / Q000473:pathology*; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology*