Patient Wang, female, 41 years old, from Changchun. She came to our hospital with a liver mass found on physical examination for six months. The patient attended a unit physical examination six months ago and was found to have a mass in the right lobe of the liver by ultrasound, the nature of which was uncertain. He went to a local tertiary hospital for ultrasound examination and was considered to have hepatic hemangioma, while CT examination suspected hepatocellular carcinoma. In the past six months, he went to several tertiary hospitals such as the Affiliated Hospital of a medical university for checkups, all of which performed ultrasound and CT examinations. The patient and her family were very worried. Finally, the patient came to our clinic for consultation. After reading the CT, MRI, color ultrasound and other examination data brought by the patient, we clearly told the patient and family that from the characteristics of the images, firstly, we can be sure that it is not hepatocellular carcinoma and we should be happy. Secondly, the possibility of hepatic hemangioma could be excluded. Thirdly, it was a benign tumor, and it was a rare benign tumor of the liver, and further examination was needed to determine what kind of tumor it was. After hearing this, both the patient and the family were relieved and very happy. After hospitalization and further examination, a benign tumor of the liver was considered: hepatic vascular smooth muscle lipoma (HAML). After adequate preoperative preparation, the liver tumor was surgically removed. HAML is an extremely rare benign tumor of the liver, which is extremely difficult to diagnose preoperatively. due to the author’s rich experience in the diagnosis and treatment of liver tumors (clinical and imaging features), many patients with difficult disease like Wang were diagnosed and treated timely and effectively. Huang Gang, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Guangzhou Medical University
For more information about the characteristics of HAML, etc., please see the subsequent article.