Page 329 - ebook HCC

GENEV
PROGRAMME AND ABSTRACTSAND ABSTRACTS
EASL
326 PROGRAMME GENEVA, SWITZERLANDA, SWITZERLAND EASL HCC SUMMITHCC SUMMIT 327
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327
FEBRUAR
FEBRUARY 13 - 16, 2014Y 13 - 16, 2014
Poster Board Number C86 Poster Board Number C87
SPLENOSIS MIMICKING HEPATIC TUMOR: SURGERY IN LIVER HAEMANGIOMA
A CASE REPORT
Giovanni Battista Levi Sandri, Quirino Lai , Fabio Melandro ,
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Giovanni Battista Levi Sandri, Quirino Lai , Fabio Melandro , Nicola Guglielmo , Nicola Guglielmo , Marco Di Laudo , Pasquale B. Berloco 1
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Marco Di Laudo , Manuela Garofalo, Pasquale B. Berloco 1 1 Surgery, La Sapienza, Roma, Italy
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1 Surgery, La Sapienza, Roma, Italy
Corresponding author’s e-mail: gblevisandri@gmail.com
Corresponding author’s e-mail: gblevisandri@gmail.com
Introduction: Hepatocellular carcinoma (HCC) is the most common type of liver cancer. Introduction: Liver haemangioma (LH) are the most common benign liver tumors. LH do
Most cases of HCC are secondary to either a viral hepatitis infection (hepatitis B or C) not require surgery except if they cause important symptoms: commonly, pain caused by
or cirrhosis. Splenosis is a heterotopic implantation of splenic fragments into exposed the size of the tumor is the first symptom described.
vascularised peritoneal and intrathoracic surfaces, following splenic injury or elective
splenectomy. Aims: The purpose of this study is to analyze analyze a cohort of 32 patients with the intent
to underline the role of surgery for giant haemangioma. We evaluated the LH presentation,
Aims: We present a case of a 54-years-old Caucasian man coming to our unit for HCC in surgical indications, laboratory biomarkers and surgical outcome.
patient with HBV cirrhosis.
Methodology: We retrospectively analyze all patients who underwent to a surgical
Methodology: Patient history began four month earlier when a accidental Hepatitis B removal of LH from January 2001 to December 2010 in Rome “La Sapienza” center.
diagnosis was made. After a first echography a computer tomography was performed
in other institute. Report of CT-scan confirm a HCC presence at segment III (picture 1).
A hepatic wedge resection was performed and patient was discharged at day seven. Results: Median age was 45 years-old [21-80], 7 men and 25 women. All patient had
Histopathology showed a 4,5x3,5x1,5cm mass brownish with whitish dots. Microscopy normal laboratory values (bilirubin, Alanine aminotranferease, aspartate aminotransferase
study revealed a capsulated spleen with no evidence of neoplasia (picture 2 and 3). and alpha fetoprotein). Median hospital stay was 6.6 day. Morbidity was represented by
one incisional hernia, no death was observed after surgery.
Results: Autotransplant of splenic tissue may occur anywhere in the body, but is most
commonly observed in the peritoneal cavity. Splenosis is easily misinterpreted as a tumor Conclusion: Surgery for benign pathologies, such as haemangioma, is not contraindicated,
condition, many case in pancreas are described. There are few previous reports of hepatic mainly if it is symptomatic. Liver resection could be complicated, morbidity and mortality
CLINICAL POSTER ABSTRACTS Conclusion: A missed diagnosis of hepatic splenosis can have a significant negative CLINICAL POSTER ABSTRACTS
splenosis mimicking hepatocellular carcinoma. Treatment usually requires surgery and
are still present in this surgery. Only if a significant increase of volume in a symptomatic
confirmation by pathology.
case, surgery could be recommended to the patient.
impact on cirrhotic patient’s. In case of patient in waiting list for liver transplantation an
accurate attention should be done in patient with history of accidental splenectomy.