You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 125 No. 5, May 1990 TABLE OF CONTENTS
  Archives
  •  Online Features
  ORIGINAL ARTICLES
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati
What's this?

Mesenchymal Hamartoma of the Liver

A 35-Year Review

Christopher A. DeMaioribus, MD; Kevin P. Lally, MD; Kenneth Sim, MD; Hart Isaacs, MD; G. Hossein Mahour, MD

Arch Surg. 1990;125(5):598-600.


Abstract

• Mesenchymal hamartoma of the liver occurs almost exclusively in infancy and childhood, with approximately 140 total cases reported. We report the experience with 18 patients at the Childrens Hospital of Los Angeles (Calif) during the past 35 years. The charts of all patients with mesenchymal hamartoma were retrospectively reviewed. The mean age at presentation was 16 months. Thirteen patients were symptomatic, presenting with increasing abdominal distention. Physical examination revealed an abdominal mass or hepatomegaly. Ultrasonography and computed tomography were the most useful diagnostic tests. Fourteen patients underwent resection; 9 underwent hepatic resection and 5 underwent excision of the tumor only. One patient had marsupialization, 1 underwent a biopsy only, and 2 died of unrelated causes and the hamartoma was found incidentally at autopsy. In all instances, a large cystic mass with well-demarcated margins was found. Three patients were unavailable for follow-up and 13 patients were alive and well 1 month to 24 years (mean, 5 years) after diagnosis. Recurrence or malignant transformation was not noted. A presumptive diagnosis can be made preoperatively by normal laboratory values and a combination of ultrasonography and computed tomography. We recommend excision of the tumor in all patients once the diagnosis is made, with the expectation of complete recovery.

(Arch Surg. 1990;125:598-600)



Author Affiliations

From the Department of Surgery, Wilford Hall US Air Force Medical Center, Lackland Air Force Base, Tex (Drs DeMaioribus and Lally), and the Divisions of Pediatric Surgery (Drs Sim and Mahour) and Pathology (Dr Isaacs), Childrens Hospital of Los Angeles and the University of Southern California School of Medicine, Los Angeles.


Footnotes

Accepted for publication October 16, 1989.

The opinions expressed herein reflect those of the authors and are not necessarily those of the US Air Force or the Department of Defense.

Reprints requests to the Department of Surgery/SGHSG, Wilford Hall, USAF Medical Center, Lackland AFB, TX 78236 (Dr Lally).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Solid mesenchymal hamartoma in an adult: a case report.
Hernandez et al.
J. Clin. Pathol. 2006;59:542-545.
ABSTRACT | FULL TEXT  

Mediastinal Hamartoma: Rare Presentation
Sharma et al.
Asian Cardiovasc. Thorac. Ann. 2000;8:186-188.
ABSTRACT | FULL TEXT  

Pathological Case of the Month
Helal et al.
Arch Pediatr Adolesc Med 1995;149:315-316.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1990 American Medical Association. All Rights Reserved.