Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : PD10 - PD12

Adult Solid Hepatic Mesenchymal Hamartoma Masquerading as Malignancy

Gunjan Desai, Prasad Pande, Chandralekha Tampi, Dattaprasanna Kulkarni

1. Registrar, Department of Gastrointestinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India. 2. Registrar, Department of Gastrointestinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India. 3. Consultant, Department of Pathology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India. 4. Consultant, Department of Gastrointestinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

Correspondence Address :
Dr. Gunjan Desai,
Lilavati Hospital and Research Centre, Mumbai-400050, Maharashtra, India.
E-mail: dsshlsh@gmail.com

Abstract

Solid Hepatic Mesenchymal Hamartoma (HMH) rarely occurs in adults. We report two cases of solid adult HMH. A 62-year-old female with right upper abdominal pain on Computed Tomography (CT) scan revealed a well defined heterogeneously enhancing solid mass lesion in segment VII of liver along with non-enhancing central necrotic areas. Percutaneous biopsy and intraoperative frozen section were inconclusive and conventional right hepatectomy was done. Final histopathology was solid HMH. Another 63-year-old female with right upper abdominal pain had cirrhotic liver, choledocholithiases, cholelithiases, mild ascites and a right lobe lesion with calcifications on CT scan. Ultrasound guided biopsy showed fibrocollagenous tissue. She was operated for a right hepatectomy and choledochoduodenostomy. Final histopathology revealed solid HMH. Though solid adult HMH is rare, it should be considered in differential diagnosis of solid/cystic/focal or multifocal liver lesions and surgical resection to negative margins is the treatment of choice.

Keywords

Hamartoma liver, Liver cancer, Mesodermal masses

How to cite this article :

Gunjan Desai, Prasad Pande, Chandralekha Tampi, Dattaprasanna Kulkarni. ADULT SOLID HEPATIC MESENCHYMAL HAMARTOMA MASQUERADING AS MALIGNANCY. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 23 ]; 11:PD10-PD12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=PD10-PD12&id=10773

DOI and Others

DOI: 10.7860/JCDR/2017/29068.10773

Date of Submission: Apr 05, 2017
Date of Peer Review: Jun 26, 2017
Date of Acceptance: Jul 25, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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