浦岡 佳子, 西村 庸夫, 中西 正, 有馬 祥子, 棟田 三保, 吉野 守彦, 波多野 誠, 正木 善告

Yoshiko URAOKA, Nobuo NISHIMURA, Tadashi NAKANISHI, Syouko ARIMA, Miho MUNETA, Morihiko YOSHINO, Makoto HATANO, Yoshitsugu MASAKI

松山市民病院内科

Department of Internal Medicine Matsuyama Shimin Hospital

キーワード : Hepatocellular carcinoma, Hepatic hemangioma, Diagnosis, Ultrasonography

We studied a case of multiple hepatic hemangioma with abnormal liver function and HCV antibody, which exhibited hepatocellular carcinoma like aspects on ultrasonography. The main tumor was accompanied by a halo, mosaic pattern, lateral shadow, and posterior echo enhancement on ultrasonography. Another tumor had a halo and mosaic pattern. The remaining tumor was visualized as a hypoechoic lesion 10 mm in diameter. These tumors did not show the low-density area so typical of hemangioma on plain CT. All three showed retention of contrast medium for more than 10 min and a diagnosis of typical hepatic hemangioma was made on the patient.