Sclerosed Hemangioma of the Liver: a rare variant of hemangioma

Sclerosed hemangioma is a rare variant of hemangioma. We present herein a case of hepatic sclerosed hemangioma. Imaging studies including ultrasonography (US), computed tomography (CT) and magnetic resonance imaging (MRI) showed a mass located between the liver and the stomach, with marginally streaky enhancement. A malignant neoplasm originating from the mesentery was suspected preoperatively. After surgical resection, the pathological diagnosis was sclerosed hemangioma, a rare variant of hemangioma. The radiological features of sclerosed hemangioma are different from those seen in typical hepatic hemangiomas, and sclerosed hemangioma is usually considered a malignancy preoperatively. The radiological features of the rare neoplasm were identified in this case. Correspondence Author to: Feng-Chi Hsieh Department of Radiology, Yuan’s General Hospital, Kaohsiung, Taiwan No. 162, Cheng-Gong 1st Road, Kaohsiung 802, Taiwan J Radiol Sci 2011; 36: 227-230 Sclerosed hemangioma of the liver 228 J Radiol Sci December 2011 Vol.36 No.4 At laparotomy, the mass was found to be mostly extrahepatic with a peduncle connecting to segment one of the liver. On section, it was solid, whitish and soft, with a myxoid consistency and focal hemorrhage (Fig. 3). Microscopic examination revealed scant thin-walled or ectatic vessels set among a diffusely hyalinized stroma. Most of the vessels were completely obliterated. Loosely-arranged spindled or stellate stromal cells were observed. The final diagnosis was sclerosed hemangioma.