A 35-year-old man who had
fever and stomachache was referred to our hospital. He underwent surgery and
chemoradiotherapy for
neuroblastoma as a child and subsequently developed
leukemia. Frequent
blood transfusions and bone marrow transplants were performed due to
anemia. Abdominal contrast CT scan and contrast MRI showed tumorous lesions with a diameter of 60×42 mm in liver S6, and a tendency to increase in a short term. There was also
hemochromatosis in the liver. We considered it a malignant
tumor and performed a right lobectomy. Pathological examination diagnosed the
tumor hepatic
angiosarcoma. The postoperative course was fine and he was discharged without complications. But multiple liver
metastases appeared 6 months after surgery. We performed
chemotherapy but he passed away 10 months after surgery. Hepatic
angiosarcoma is a
rare disease among liver
malignancies and has a very poor prognosis. As for the cause of hepatic
angiosarcoma, many of them are unknown, but chronic exposures such as vinyl monomers have been reported in some cases.
Hemochromatosis has been reported as a background factor for malignant
tumors such as
hepatocellular carcinoma. In this case it is possible that it contributed to the development of hepatic
angiosarcoma.