Journal of the Korean Society of Neonatology  2005;12(1):105-111

Giant Neonatal Hemangioendothelioma of the Liver Diagnosed by 99mTc-RBC Scintigraphy.

Hyun Joo JUNG 1 ; Jae Eun YU ; Ki Soo PAI ; Mi Sun AHN ; Woo Cheol JUNG ; Moon Sung PARK ; Jeong HONG ; Seok Nam YOON

Affiliations

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Keywords

Infantile hemangioendothelioma; 99mTc-RBC scan

Country

Republic of Korea

Language

Korean

Abstract

Infantile hemangioendothelioma (IHE) is a benign tumor of the liver composed of anastomosing vascular channels lined by plump endothelial cells. The major clinical findings of IHE are abdominal mass, hepatomegaly, cutaneous hemangioma, congestive heart failure, anemia and disseminated intravascular coagulopathy. Precise diagnosis of IHE is crucial because medical therapies using steroid and/or interferon can be tried unless there are grave compressive symptoms. Along with CT scan and MRI studies, scintigraphic evaluation with 99mTc-RBC offers an accurate method of identification of these lesions, and allows differentiation from other common primary or secondary hepatic masses. We report two cases of giant IHE of the liver those were diagnosed with 99mTc- RBC scan and confirmed with pathologic evaluation after surgical removal.