title: Liver transplant for mixed capillary-cavernous hemangioma masquerading as hepatocellular carcinoma in a patient with hepatocellular carcinoma.
abstract: Hemangioma is the most common benign tumor of the liver. Unlike cavernous hemangioma, hepatic capillary or mixed capillary-cavernous hemangioma is a rare type of tumor in adults. Clinical presentation of hemangioma may mimic that of hepatocellular carcinoma. Furthermore, radiologic features on computed tomography and magnetic resonance imaging may not be typical for hemangioma and can be confused with hepatocellular carcinoma. Symptomatic hemangiomas require some form of treatment, such as corticosteroids, interferon, radiation, arterial embolization, surgical resection, or liver transplant. In the present case study, we present a patient treated with liver transplant for hemangioma mimicking hepatocellular carcinoma. This case report illustrates the atypical imaging appearance of hemangioma and possible confusion it can cause in diagnosing hepatocellular carcinoma, especially in a hepatitis C carrier.
authors.affiliation: Department of Transplant Surgery, New York University, School of Medicine, New York, NY 10016, USA. drethemunal@gmail.com
authors.forename: Ethem
authors.initials: E
authors.lastname: Unal
authors.forename: Franto
authors.initials: F
authors.lastname: Francis
authors.forename: Alger
authors.initials: A
authors.lastname: Aquino
authors.forename: Ruliang
authors.initials: R
authors.lastname: Xu
authors.forename: Glyn
authors.initials: G
authors.lastname: Morgan
authors.forename: Lewis
authors.initials: L
authors.lastname: Teperman
mesh_terms: D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis*; D003951:Diagnostic Errors; D005260:Female; D018324:Hemangioma, Capillary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006526:Hepatitis C / Q000175:diagnosis; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016031:Liver Transplantation; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome