산전진찰에서 발견된 태아 간혈관종 1예
Prenatal sonographic diagnosisof fetal hepatic hemangioma
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참고문헌
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초록
=영아기의 간혈관종은 양성 혈관종으로 영아기에서 가장 흔한 간종양이다. 작은 크기의 간혈관종은 대부분의 경우 증상이 없으며 치료를 요하는 경우는 드물다. 지름이 4 cm 이상인 거대혈관종은 발생빈도는 드물지만 소모성 혈액 응고장애, 빈혈, 종양파열로 인한 출혈, 동정맥 단락으로 인한 울혈성 심부전 등의 치명적인 합병증을 야기할 수 있으며, 보고된 치사율은 70-90%이다.태아의 간 내 종양의 감별진단으로는 간혈관종, 간엽과오종, 간아세포종 등이 있다. 간혈관종은 흔한 종양이나 산전진찰에서 진단되어 문헌에 보고된 경우는 드물어, 문헌 고찰과 함께 이를 보고하는 바이다.
Abstract
Infantile hepatic hemangioma is benign vascular tumor and the most common liver tumor in infants. Small hepatic hemangioma is usually asymptomatic and seldom require therapy. Giant hepatic hemangioma, defined as more than 4 cm in diameter, is rare, but can lead to life-threatening complications such as consumptive coagulopathy, anemia, hemorrhage after tumor rupture and congestive heart failure due to arteriovenous shunting. Neonatal mortality rate is about 70-90%. The differential diagnosis of a fetal liver mass includes hemangioma, hepatoblastoma, and mesenchymal harmatoma. Although hepatic hemangioma represents the most common tumor of the liver in infant, the prenatal diagnosis of this condition has been rarely reported in the literature. we experienced a case of fetal hepatic hemangioma by prenatal sonography and report our case with a brief review of literature.
참고문헌 (17)
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