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'cm大の多発性腫瘍を認めたため,当科を紹介受診した.腹部血管造影検査の所見より肝紫斑病と診断して経過観察していたが,9カ月後に腹腔内出血を認めて緊急入院となった.保存的治療を継続したが肝不全の進行により第29病日に死亡した.病理解剖を施行したところ,肝血管肉腫の診断であった.肝紫斑病は良性疾患であるが肝血管肉腫は確立された治療法のない予後不良の悪性疾患であり,治療方針も根本的に異なる.両者とも肝腫瘍の鑑別に含まれる疾患であり,生検によるリスクは考えられるが可能な限り病理学的に確定診断をつける必要があると考えられた.': [2]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W2312292266', 'counts_by_year': [{'year': 2023, 'cited_by_count': 1}, {'year': 2018, 'cited_by_count': 1}], 'updated_date': '2024-09-16T04:38:00.614498', 'created_date': '2016-06-24'}