Clinical course
･ 転移性肝腫瘍が第1に疑われ、全身の検索 が行われたが異常なし。
･ 肝腫瘍の針生検が行われ、病理組織診断は Epithelioid hemangioendothelioma (EHE) of the liver(疑い)
･ 生体肝移植目的にて当院紹介
診断：EHE of the liver
･ Low-grade malignant vascular tumor
･ Mean age: 41.7years
･ Male to Female ratio 2:3
･ Clinical manifestions: nonspecific
･ 1-year and 5-year survival
_ after resection: 100%, 75%
_ after transplantation: 96%, 54.5%
_ no treatment: 39.3%, 4.5%
EHE of the liver
･ Multifocal nodular pattern (more common)
･ Diffuse pattern
･ Located at periphery
･ Calcification:20%
･ Capsular retraction:25%
_ due to occlusion of peripheral bile ducts
･ Compensatory hypertrophy
Target like enhancement
･ Nonenhancing central part
_ necrosis, fibromyxoid stroma
･ Enhancing inner rim
_ hyperemia
･ Nonenhancing outer rim
_ avascular zone
