Hamartoma mesenquimal hepático: relato de dois casos de tumor hepático benigno na infância

INTRODUCTION: Hepatic mesenchymal hamartoma is a benign tumor more common in children. Comprised of fibrous tissue and with a variable amount of blood vessels and bile ducts, it is asymptomatic in most cases but abdominal distention and pain on palpation can be reported. CASES REPORT: Two infants wi...

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Detalles Bibliográficos
Autores: Thaís Costa Nascentes Queiroz, Guilherme Domingues Ferreira, Eleonora Druve Tavares Fagundes, Adriana Teixeira Rodrigues, Alexandre Rodrigues Ferreira
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:portugués
OAI Identifier:oai:repositorio.ufmg.br:1843/69501
Acceso en línea:https://dx.doi.org/10.5935/2238-3182.v32supl.11.04Voltar ao Sumário
http://hdl.handle.net/1843/69501
https://orcid.org/0000-0002-5671-9570
https://orcid.org/0000-0002-6927-446X
Access Level:acceso abierto
Palabra clave:Hamartoma mesenquimal
Tumor hepático
Pediatria
Hamartoma
Neoplasias hepáticas
Descripción
Sumario:INTRODUCTION: Hepatic mesenchymal hamartoma is a benign tumor more common in children. Comprised of fibrous tissue and with a variable amount of blood vessels and bile ducts, it is asymptomatic in most cases but abdominal distention and pain on palpation can be reported. CASES REPORT: Two infants with large abdominal mass and imaging studies showing cystic hepatic lesions with septations in its interior, suggestive of hepatic mesenchymal hamartoma. One of the patients underwent surgical resection and the other living-donor liver transplantation. Both are deemed healed and currently asymptomatic. CONCLUSIONS: Hepatic mesenchymal hamartoma should be suspected whenever a child younger than 5 years, especially before 2 years of age, presents itself with increased abdominal volume. Even though both patients had the same diagnosis, their treatment strategies were different to eradicate the tumor. When treating a large tumor, the surgical planning must include the possibility of a living-donor transplantation during the procedure.