Multiple hepatic adenomas in a patient with a history of oral steroid: A case report / 한국간담췌외과학회지

ABSTRACT

Multiple hepatic adenoma is a rare entity in which characterized by the presence of numerous adenomas within an otherwise normal liver. Although the disease is rare, its important lies in its tendency to produce symptoms such as abdominal pain and its potential for abdominal hemorrhages. However, the prognosis and the evolution of this entity is generally uncertain. We report a case multiple hepatic adenomas, which was proved by pathology, in 24 years old man who has been prescribed long-term oral steroid due to rheumatoid arthritis. He underwent incisional biopsy and mass enucleation of hepatic tumors with 95% alcohol injection. In the case, dissection of the liver showed many other diffuse and smaller nodules. Histologically, tumor was liver cell adenoma without pleomorphism, or mitosis. During the follow-up period of two years, new nodules were found by ultrasonography and magnetic resonance image without developed of serious complications.