Bushra Kurban, Deepti Shukla, Shamas Zaman, Muhannad Al Okla
{"title":"1例肝血管平滑肌脂肪瘤:一种罕见的肝脏病变,诊断和治疗方面的挑战。","authors":"Bushra Kurban, Deepti Shukla, Shamas Zaman, Muhannad Al Okla","doi":"10.4166/kjg.2025.036","DOIUrl":null,"url":null,"abstract":"<p><p>Hepatic angiomyolipoma (HAML) is a rare, benign mesenchymal tumor with varying proportions of adipose tissue, smooth muscle, and blood vessels in the liver. Often asymptomatic, HAML is usually discovered incidentally during imaging. Its imaging characteristics can mimic other hepatic lesions, such as hepatic adenoma and hepatocellular carcinoma, making a diagnosis challenging. This case highlights the diagnostic difficulties of HAML and the importance of biopsy and histopathology in confirming the diagnosis. Although most cases follow a benign course, management depends on the tumor size, location, and symptomatology. Asymptomatic tumors can be monitored with regular imaging, while surgical intervention is considered for larger or symptomatic lesions.</p>","PeriodicalId":94245,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"85 3","pages":"404-407"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Case of Hepatic Angiomyolipoma: An Unusual Hepatic Lesion with a Review of Diagnostic and Management Challenges.\",\"authors\":\"Bushra Kurban, Deepti Shukla, Shamas Zaman, Muhannad Al Okla\",\"doi\":\"10.4166/kjg.2025.036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Hepatic angiomyolipoma (HAML) is a rare, benign mesenchymal tumor with varying proportions of adipose tissue, smooth muscle, and blood vessels in the liver. Often asymptomatic, HAML is usually discovered incidentally during imaging. Its imaging characteristics can mimic other hepatic lesions, such as hepatic adenoma and hepatocellular carcinoma, making a diagnosis challenging. This case highlights the diagnostic difficulties of HAML and the importance of biopsy and histopathology in confirming the diagnosis. Although most cases follow a benign course, management depends on the tumor size, location, and symptomatology. Asymptomatic tumors can be monitored with regular imaging, while surgical intervention is considered for larger or symptomatic lesions.</p>\",\"PeriodicalId\":94245,\"journal\":{\"name\":\"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi\",\"volume\":\"85 3\",\"pages\":\"404-407\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4166/kjg.2025.036\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4166/kjg.2025.036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Case of Hepatic Angiomyolipoma: An Unusual Hepatic Lesion with a Review of Diagnostic and Management Challenges.
Hepatic angiomyolipoma (HAML) is a rare, benign mesenchymal tumor with varying proportions of adipose tissue, smooth muscle, and blood vessels in the liver. Often asymptomatic, HAML is usually discovered incidentally during imaging. Its imaging characteristics can mimic other hepatic lesions, such as hepatic adenoma and hepatocellular carcinoma, making a diagnosis challenging. This case highlights the diagnostic difficulties of HAML and the importance of biopsy and histopathology in confirming the diagnosis. Although most cases follow a benign course, management depends on the tumor size, location, and symptomatology. Asymptomatic tumors can be monitored with regular imaging, while surgical intervention is considered for larger or symptomatic lesions.