Korean J Gastroenterol.  2024 Jan;83(1):37-40. 10.4166/kjg.2023.143.

A Case of Primary Hepatic Leiomyoma Incidentally Found in a Middle-aged Woman without Underlying Diseases

• Chung YK
• Jung BH
• Lee YN
• Song SB
• Wang Hj

• KMID: 2552242
• DOI: http://doi.org/10.4166/kjg.2023.143

Figure

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  Fig. 1 Initial dynamic CT scan. (A, B) Abdominal CT scan demonstrating a 6.3 cm progressive enhancing mass in S7 (arrow) of the liver in portal phase (A) and venous phase (B).

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  Fig. 2 Dynamic MRI findings. (A) Hypointense signal on T1-weighted image. (B) Hyperintense signal on T2-weighted image. (C) Heterogeneously enhancement in the arterial phase. (D) Hypointense signal in hepatobiliary delayed phase.

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  Fig. 3 Gross pathologic findings. (A) Exophytic mass on S7 in operative field. (B) Gross finding of the tumor shows grayish white, solid, and whorled mass weighing 171 g and 7.5×4.2×4.0 cm.

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  Fig. 4 Hematoxylin and eosin stain, x100. The hepatic tumor was composed of bundles of spindle-shaped cells with nuclei and eosinophilic cytoplasm.

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  Fig. 5 Immunohistochemical examination. (A–D) Smooth muscle actin, x100 (A), KIT, x100 (B), CD34, x100 (C), and S100, x100 (D) were examined by immunohistochemistry.

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  Fig. 6 CT scan at postoperative 30th day. There were no abnormal findings except for small amount fluid collection at the resection margin.

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