Kavernozni hemangioma jetre sa ekstramedularnom hematopoezom i embolizacijom malignim ćelijama: prikaz slučaja

  • Marinko Paunović Center for plastic and reconstructive surgery, Clinic of Surgery, Clinical Center of Montenegro
  • Batrić Vukčević Medicinski fakultet, Univerzitet u Beogradu
  • Zoran Terzić Center for plastic and reconstructive surgery, Clinic of Surgery, Clinical Center of Montenegro
  • Milorad Magdelinić Department of Surgery, General Hospital Berane
  • Ljiljana Vučković Center for Pathology, Clinical Center of Montenegro
  • Janja Raonić Center for Pathology, Clinical Center of Montenegro
  • Vanja Balšić Special hospital for internal disease, Vrnjacka Banja, Serbia
  • Jelena Vučinić Center for Pathology, Clinical Center of Montenegro

Sažetak


Kavernozni hemangiom jetre je najčešći benigni tumor jetre (sa incidencom u rasponu od 1.4% do 52%). Etiologija tumora je nejasna, sa nekoliko hipoteza koje se baziraju na mogućem kongenitalnom uzroku lezije. Ekstramedularna hematopoeza je proces produkcije krvnih ćelija van kostne srži, najčešće usljed hematoloških bolesti ili fibroze kostne srži. Prezentujemo slučaj muškarca starog 78 godina sa sumnjom na malignitet žučne kese, kao i kavernoznim hemangiomom jetre sa ekstramedularnom hematopoezom i embolizacijom malignim ćelijama (endotelne ćelije pozitivne na CD31 i CD34; maligne ćelije pozitivne na pan-citokeratin i CDX2). Diskutovana je etiologija ekstramedularne hematopoeze u vaskularnim lezijama.

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Objavljeno
2020/08/27
Rubrika
Prikaz bolesnika