DOI QR코드

DOI QR Code

간선종으로 오인된 간에 발생한 자궁외 선근종: 증례 보고

Extrauterine Adenomyoma of the Liver Mimicking a Hepatic Adenoma: A Case Report

  • 원영주 (한림대학교 의과대학 강남성심병원 영상의학과) ;
  • 우지영 (한림대학교 의과대학 강남성심병원 영상의학과) ;
  • 변지은 (한림대학교 의과대학 강남성심병원 영상의학과) ;
  • 홍민의 (한림대학교 의과대학 강남성심병원 병리학과)
  • Young Joo Won (Department of Radiology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ji Young Woo (Department of Radiology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jieun Byun (Department of Radiology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Min Eui Hong (Department of Pathology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2019.01.18
  • 심사 : 2019.05.11
  • 발행 : 2020.01.01

초록

간에 발생하는 자궁외 선근종은 매우 드문 종양이다. 이제껏 몇 가지의 사례만이 문헌에 보고되었고, 이것들은 조직병리학 소견에 초점을 둔 보고들이었다. 우리는 처음에 간선종으로 오인되었던, 상복부 통증을 주소로 내원한 43세 여성에서의 간에 발생한 자궁외 선근종의 특징적인 영상 소견을 보고하고자 한다. 이것은 전산화단층촬영과 자기공명영상에서 국소적 출혈을 동반한 고형 및 낭성 종괴로 보이며 간우엽 피막하에 위치하였고, 지속적인 약한 조영 증강을 보였다.

Extrauterine adenomyoma of the liver is extremely rare. Only a few cases have been reported, and these reports have focused mainly on histopathology. Herein, we report the specific imaging findings of extrauterine adenomyoma of the liver in a 43-year-old woman with epigastric pain, which was initially diagnosed as a hepatic adenoma. CT and MRI revealed a solid and cystic mass with hemorrhagic foci and weak persistent enhancement, located in the subcapsular region of the right hepatic lobe.

키워드

참고문헌

  1. Huanwen W, Hui Z, Xiaowei X, Zhaohui L. Extrauterine adenomyoma of the liver with a focally cellular smooth muscle component occurring in a patient with a history of myomectomy: case report and review of the literature. Diagn Pathol 2013;8:131 
  2. Paul PG, Gulati G, Shintre H, Mannur S, Paul G, Mehta S. Extrauterine adenomyoma: a review of the literature. Eur J Obstet Gynecol Reprod Biol 2018;228:130-136 
  3. Cozzutto C. Uterus-like mass replacing ovary: report of a new entity. Arch Pathol Lab Med 1981;105:508-511 
  4. Sopha SC, Rosado FG, Smith JJ, Merchant NB, Shi C. Hepatic uterus-like mass misdiagnosed as hepatic abscess. Int J Surg Pathol 2015;23:134-139 
  5. Tandon N, Showalter J, Sultana S, Zhao B, Zhang S. Extrauterine adenomyoma of the liver in a 50 year old female with pelvic endometriosis. Ann Clin Lab Sci 2017;47:208-212 
  6. Song SE, Sung DJ, Park BJ, Kim MJ, Cho SB, Kim KA. MR imaging features of uterine adenomyomas. Abdom Imaging 2011;36:483-488 
  7. Casillas VJ, Amendola MA, Gascue A, Pinnar N, Levi JU, Perez JM. Imaging of nontraumatic hemorrhagic hepatic lesions. Radiographics 2000;20:367-378 
  8. Grazioli L, Federle MP, Brancatelli G, Ichikawa T, Olivetti L, Blachar A. Hepatic adenomas: imaging and pathologic findings. Radiographics 2001;21:877-892 
  9. Sherif AM, Musa ER, Kedar R, Fu L. Subcapsular hepatic endometriosis: case report and review of the literature. Radiol Case Rep 2016;11:303-308 
  10. Redman R, Wilkinson EJ, Massoll NA. Uterine-like mass with features of an extrauterine adenomyoma presenting 22 years after total abdominal hysterectomy-bilateral salpingo-oophorectomy: a case report and review of the literature. Arch Pathol Lab Med 2005;129:1041-1043