Infantile hemangioendothelioma of the liver is an uncomrnon tumor, either solitary or multicentric. Congestive heart failure is commonly associated with the tumor because the vascular lesions can act as arteriovenous fistula. The patient with multicen...
Infantile hemangioendothelioma of the liver is an uncomrnon tumor, either solitary or multicentric. Congestive heart failure is commonly associated with the tumor because the vascular lesions can act as arteriovenous fistula. The patient with multicentric lesions usually presents in infancy with hepatomegaly and high output congestive heart failure. Scilitary hepatic hemangioendothelioma has better prognosis because of lower incidence of congestive heart failure. Computerized tomography and arteriography are diagnostic. A variety of approaches to treatment including resection, radiation, steroid therapy, hepatic artery ligation and embolization have been tried, but those treatments were not uniformly successful. We report two infants with solitary hepatic hemangioendothelioma completely resected. The only symptom of the tumor was a palpable mass felt shortly after birth. Fortunately, both patients had tumors well localized in the left lobe of the liver. I.eft hepatic lobectomy was performed in both cases without serious morbidity