In Reply to: Re: Case 497_08 -- Embolization of bleeding hepatic adenoma posted by Bob Vogelzang on April 25, 1997 at 13:30:22:
A similar case in a pregnant patinet was mis-reported as a "hemangioma" in the OB-GYN literature (Graham E, Cohen AW, Soulen MC, Faye R. Symptomatic liver hemangioma with intra-tumor hemorrhage treated by angiography and embolization during pregnancy. Obstet Gynecol 1993;81:813-816.). Again no biopsy was performed. When the patient wanted to get pregnant again some years later, she was re-imaged. Not only had the lesion grown, but the "adenoma" now had multiple daughter lesions. This emphasizes the importance of tissue diagnosis, even in younger patients.