Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2019 Vol. 27 No 3

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2019.3.354   |  

V.V. BOYKO 1, R.M. SMACHYLO 1, M.S. CHERNYAYEV 2, I.I. YAKOVTSOVA 3, S.V. DANYLIUK 3, O.M. TYSHCHENKO 1, A.L. VESELYI 1

MULTIFOCAL ANGIOMYOLIPOMA OF THE LIVER AND LUNG

V.T. Zaytsev Institute of General and Urgent Surgery 1 of the National Academy of Medical Sciences of Ukraine,
Kharkiv National Medical University 2,
Kharkiv Medical Academy of Post-graduate Education 3, Kharkiv,
Ukraine

The article presents a clinical case of surgical treatment of a patient with a rare oncological disease – multifocal angiomyolipoma of the liver and lungs. The patient had been hospitalized to the clinic, examined using spiral computed tomography of the abdominal organs and the chest. The following was revealed – bilateral multiple lung neoplasms, liver neoplasms: in Sg2 and Sg4 – 3 tumors up to 2 cm in diameter, in Sg1 – a large similar tumor 10x8cm adjacent to the inferior vena cava. Differential diagnostics with hepatocellular carcinoma was performed by using the determination of the blood tumor markers and trepan biopsy of the tumor of the caudate hepatic lobe, followed by histological examination. After confirming of probable benign nature of the tumor, the patient was operated on. Intraoperative findings were the following: in Sg2 and Sg4 of the liver – neoplasms up to 2 cm in diameter; in Sg1 of the liver – a neoplasm 9×8×10 cm, closely adjacent to the inferior vena cava, easily vulnerable with bleeding after contact. Resection of Sg1 of the liver with a tumor was performed by the left-sided method using afferent vascular exclusion of the liver, clamp crush technique, and electrosurgical welding. The postoperative period was stable, without complications, the patient was discharged from hospital on the 12th postoperative day. The immunohistochemical study of the removed tumor confirmed the diagnosis of liver angiomyolipoma.

Keywords: angiomyolipoma, caudate lobe of the liver, liver resection, computed tomography, immunohistochemistry, electrosurgical sealing
p. 354-359 of the original issue
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Address for correspondence:
61103, Ukraine,
Kharkiv, Balakirev Entry, 1,
V.T. Zaytsev Institute of General and Urgent Surgery
Of the National Academy of Medical
Sciences of Ukraine,
Surgery Department of the Liver and Bile Ducts.
Tel. mobile: +38 0506 15-45-55,
e-mail: dr.chernyayev@gmail.com,
Mykyta S. Chernyayev
Information about the authors:
Boyko Valeriy V., MD, Professor, Corresponding Member of the National Academy of Medical Sciences of Ukraine, Director of V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
https://orcid.org/0000-0003-4771-9699
Smachylo Rostyslav M., MD, Professor, Head of the Surgery Department of the Liver and Bile Ducts, V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
https://orcid.org/0000-0003-1237-0255
Chernyayev Mykyta S, PhD, Assistant of the Surgery Department №1, Kharkiv National Medical University, Kharkiv, Ukraine.
https://orcid.org/0000-0002-6543-311X
Yakovtsova Iryna I., MD, Professor, Head of the Pathologic Anatomy Department, Kharkiv Medical Academy of Post-graduate Education, Kharkiv, Ukraine.
https://orcid.org/0000-0002-1027-9215
Danyliuk Svitlana V., PhD, Associate Professor of the Pathologic Anatomy Department, Kharkiv Medical Academy of Post-graduate Education, Kharkiv, Ukraine.
https://orcid.org/0000-0002-9971-0410
Tishchenko Olexander M., MD, Professor of the Surgery Department of the Liver and Bile Ducts, V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
https://orcid.org/0000-0002-9151-778X
Veselyi Andrii L., Radiologist of the Computed Tomography Cabinet, V.T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
https://orcid.org/0000-0002-5350-4259
Contacts | ©Vitebsk State Medical University, 2007