PMC6053548_01
Contrast-enhanced computed tomography of the liver with well-demarcated hypodense masses, peripheral nodular enhancement, and a filling-in centripetal pattern during the late phases.
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F1
The patient was kept under surveillance, and on 1-year follow-up the right hepatic hemangioma had increased to a diameter of 29 cm (Figure 1).
Surgical appearance of the giant hepatic hemangioma before extended right hepatectomy.
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F2
As the remaining unaffected liver volume of the patient was 35%, an extended right hepatectomy with cholecystectomy was performed (Figure 2).
(A) Macroscopic surface photography of resected liver hemangioma showing a red-brown appearance and spongy consistency with additional hemorrhage and scarring. (B) Hematoxylin and eosin staining showing cavernous vascular spaces of varying sizes, filled with blood and lined by single layers of flat endothelium (magnification 40x).
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F3
Histopathology reported a cavernous hemangioma 25 x 20 x 5 cm in size and 4,100 g in weight, with multiple infarcts and acute and chronic re-canalized thrombosis (Figure 3).