Zapata-Olivares H, Reyes L, García F, De la Torre y Rendón FE, Álvarez-Kobayashi J, García-Samper MX

Language: Spanish
References: 10
Page: 1099-1102
PDF size: 197.23 Kb.

ABSTRACT

Background: Cavernous hemangioma is the most common vascular hepatic lesion in adults, usually accompanied by tumor markers within normal ranges. However, isolated cases of patients with elevated alpha-fetoprotein have been documented, and it is necessary to be clear about the diagnostic approach to liver lesions, based on adequate complementary studies.
Clinical case: An 80-year-old female patient with tomographic finding of liver lesion associated with a history of clear cell renal carcinoma, performing an approach to rule out metastases, primary lesion or benign alteration. Hepatic lesion was approached with imaging and laboratory studies, referring a suggestive pattern tomography of hemangioma. However, due to the persistence elevation of alpha-fetoprotein reaching levels of up to 1210 ng/mL, MRI imaging was requested, reporting lesion compatible with hepatocarcinoma, undergoing the patient under ultrasound-guided biopsy resulting in cavernous hemangioma.
Conclusions: The evaluation of patients complemented with adequate studies is essential for a timely and accurate diagnosis.

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