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Radiology, Vol 158, 619-624, Copyright © 1986 by Radiological Society of North America

ARTICLES

Mesenchymal hamartoma of the liver: radiologic-pathologic correlation

PR Ros, ZD Goodman, KG Ishak, AH Dachman, WW Olmsted, DS Hartman and JE Lichtenstein

Mesenchymal hamartoma of the liver (MHL) is an uncommon cystic mass of infancy that is a developmental anomaly rather than a neoplasm. Fourteen cases of MHL were retrospectively reviewed. Grossly, MHL is a solitary mass with cystic spaces of variable size. Patients are seen initially with painless progressive abdominal enlargement. On plain films, MHL appears as a large, noncalcified mass in the right upper quadrant. Scintigraphy is helpful in confirming its hepatic origin. Ultrasonography and computed tomography demonstrate a large multiloculated mass with considerable variation in the size of septa and cystic spaces. Angiographically, MHL is avascular or hypovascular. Recognition of these radiographic findings allows a correct diagnosis to be made in many cases. With resection, the prognosis is excellent.


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