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CASE REPORT article

Front. Med.

Sec. Hepatobiliary Diseases

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1654316

Case Report: Hepatocellular adenoma due to long-term oral stanozolol administration

Provisionally accepted
Ya-Nan  QinYa-Nan QinChang-Ming  TaoChang-Ming TaoTian-Tian  GuoTian-Tian GuoJing-Jing  LiuJing-Jing LiuWei-Chang  LuanWei-Chang Luan*Chun-Hua  LiuChun-Hua Liu*
  • Liaocheng People's Hospital, Liaocheng, China

The final, formatted version of the article will be published soon.

This article presents a case of a 15-year-old male with a 6-year history of aplastic anemia treated with long-term oral stanozolol to promote hematopoiesis. On this occasion, the patient was admitted to hospital with abdominal pain. Abdominal imaging revealed a liver tumor of undetermined nature. A diagnosis of β-catenin-activated hepatocellular adenoma was subsequently confirmed via hepatic perforation biopsy. Stanozolol was discontinued immediately after diagnosis and replaced with platelet-boosting therapy using romiplostim. A repeat abdominal CT scan performed 4 months after discontinuation of the drug showed a significant reduction in lesion size, which continued to be closely monitored. Hepatocellular adenoma is a rare clinical scenario. This case, supported by complete data and gold-standard pathologic diagnosis, provided valuable insights, suggesting that patients on long-term androgen therapy with aplastic anemia constituted a high-risk group for hepatocellular adenoma, and highlighted the need to optimize management strategies.

Keywords: aplastic anemia, Stanozolol, Androgens, case report, Hepatocellular adenoma

Received: 26 Jun 2025; Accepted: 06 Aug 2025.

Copyright: © 2025 Qin, Tao, Guo, Liu, Luan and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Wei-Chang Luan, Liaocheng People's Hospital, Liaocheng, China
Chun-Hua Liu, Liaocheng People's Hospital, Liaocheng, China

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