A patient with hepatitis B virus infection had hepatic epithelioid angiomyolipoma scattered in the liver which was not suitable for surgical resection: A case report

Hepatic epithelioid angiomyolipoma (HEAML) is a rare tumor of mesenchymal tissue with a malignant tendency. It most frequently occurs in women. According to incomplete statistics, the incidence in men and women is approximately 1:5. Most HEAML lesions are single, and the lesions are generally located in the right lobe of the liver. In rare cases, the occurrence and development of the disease is hidden, the lesions are generally found by chance by patients, there are no special signs, and imaging has no specificity in the diagnosis of the disease. In addition, the misdiagnosis rate is very high with an accuracy rate of < 32%. Therefore, it has led to great difficulties in our diagnosis and treatment. This patient was a middle-aged female with a history of hepatitis B and no other special symptoms. She is a patient with multiple intrahepatic angiomyolipoma. Due to the small and scattered foci, complete resection was impossible, and due to her history of hepatitis B, conservative treatment was taken, and regular follow-up was performed. There was no tumor neogenesis or metastasis at the one-year follow-up.