The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(3):726-732.
증례 : 44세 남자에서 우연히 발견된 종양내 출혈성 괴사를 동반한 간세포샘종 1예
서정필.윤승규.권정현.장재혁.배시현.최종영.김동구, , , , , ,
A case of hepatocellular adenoma with internal hemorrhagic necrosis in an asymptomatic male patient
Jung Pil Suh, Seung Kew Yoon, Jung Hyun Kwon, Jae Hyuck Chang, Si Hyun Bae, Jong Young Choi, Dong Goo Kim


Abstract
Hepatocellular adenoma is an uncommon benign liver tumor that occurs mostly in women of childbearing age and is associated with the use of oral contraceptives. Other risk factors, including the use of androgen steroid and type I glycogen storage disease, are also linked to the development of hepatocellular adenoma. However, rare cases of hepatocellular adenoma show no apparent pathogenic factor or drug history. Due to the increased risk of spontaneous life-threatening hemorrhage and potential malignant transformation, surgical resection is the first choice for most lesions. In addition, emergency hepatic arteriography with embolization should be considered to control bleeding in hemodynamically unstable or high-risk patients. Here, we report a case of hepatocellular adenoma with internal hemorrhagic necrosis incidentally detected in an asymptomatic 44-year-old man. (Korean J Med 75:S726-S732, 2008)

Keywords :Asymptomatic, Hepatocellular adenoma, Male
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