Ultrasonographic manifestations of fetal atypical hepatic hemangioma：a case report
10.3760/cma.j.cn131148-20241105-00577
- VernacularTitle:胎儿不典型肝血管瘤超声表现1例
- Author:
Qin LIN
1
;
Dongmei LIU
1
;
Jiangli DONG
1
;
Kexuan LIU
1
;
Jiali YU
1
;
Jiangyi ZHAO
1
;
Ganqiong XU
1
Author Information
1. 中南大学湘雅二医院超声医学科 中南大学湘雅二医院超声影像医学研究室 湖南省医学影像临床医学研究中心，长沙 410011
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Fetus;
Atypical hepatic hemangioma;
Prenatal diagnosis
- From:
Chinese Journal of Ultrasonography
2025;34(4):348-351
- CountryChina
- Language:Chinese
-
Abstract:
The pregnant woman was 34 years old，G9P0，at 32 weeks of gestation，the routine prenatal examination of the fetus in the Second Xiangya Hospital，Central South University indicated that “The hyperechoic mass in the right lobe of the liver，Hepatic hemangioma？Hepatoblastoma？”. Since then，multiple fetal and postnatal color ultrasound scans indicated progressive enlargement of the mass. The fluctuation of serum alphafetoprotein（AFP）was increased after birth，the possibility of a malignant tumor could not be ruled out by imaging and laboratory examinations. The child underwent hepatectomy 70 days after birth. The final diagnosis was hepatic hemangioma，and a one-year follow-up showed that she had a good prognosis. Fetal liver hemangioma is the most common benign liver tumor，prenatal ultrasound diagnosis is not difficult. However，atypical fetal hepatic hemangioma has complex ultrasound manifestations，and prenatal diagnosis is hard to determine its nature. In this article，the ultrasonographic features of typical and atypical fetal hepatic hemangioma were compared to provide the basis for early diagnosis of atypical fetal hepatic hemangioma.
