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J Korean Soc Neonatol. 2005 May;12(1):105-111. Korean. Case Report.
Jung HJ , Yu JE , Pai KS , Ahn MS , Jung WC , Park MS , Hong J , Yoon SN .
Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea. drparkms@ajou.ac.kr
Department of Pediatric Surgery, Ajou University School of Medicine, Suwon, Korea.
Department of Nuclear Medicine, Ajou University School of Medicine, Suwon, Korea.
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.

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