Contrast uptake in primary hepatic angiosarcoma on gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging in the hepatobiliary phase

被引:1
作者
Hayashi, Manabu [1 ]
Kawana, Satoshi [2 ]
Sekino, Hirofumi [3 ]
Abe, Kazumichi [1 ]
Matsuoka, Naoki [1 ]
Kashiwagi, Masahito [1 ]
Okai, Ken [1 ]
Kanno, Yukiko [1 ]
Takahashi, Atsushi [1 ]
Ito, Hiroshi [3 ]
Hashimoto, Yuko [2 ]
Ohira, Hiromasa [1 ]
机构
[1] Fukushima Med Univ, Sch Med, Dept Gastroenterol, 1 Hikariga Oka, Fukushima 9601295, Japan
[2] Fukushima Med Univ, Sch Med, Dept Diagnost Pathol, Fukushima 9601295, Japan
[3] Fukushima Med Univ, Sch Med, Dept Radiol, Fukushima 9601295, Japan
关键词
Hepatic angiosarcoma; Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid; Cirrhosis; Hepatocellular carcinoma;
D O I
10.4254/wjh.v10.i1.166
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Primary hepatic angiosarcoma is the most common malignant mesenchymal tumor of the liver. It has a poor prognosis and various appearances on magnetic resonance (MR) images. We report a case of hepatic angiosarcoma with a characteristic appearance on gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced MR imaging in the hepatobiliary phase. A 72-year-old man was admitted with a complaint of abdominal pain. Gd-EOBDTPA-enhanced MR imaging revealed a liver tumor that showed slight hyperintensity in the hepatobiliary phase. These findings suggested Gd-EOB-DTPA uptake in the tumor. An autopsy revealed the solid proliferation and sinusoidal spreading of hepatic angiosarcoma cells. Immunohistochemistry indicated that the tumor was negative for OATP1B3. Gd-EOB-DTPA uptake in the liver tumor in the hepatobiliary phase suggested sinusoidal tumor invasion with residual normal hepatocytes.
引用
收藏
页码:166 / 171
页数:6
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