Focal lesions in cirrhotic liver: what else beyond hepatocellular carcinoma?

被引：38

作者：

Galia, Massimo ^{[1
]}

Taibbi, Adele ^{[1
]}

Marin, Daniele ^{[3
]}

Furlan, Alessandro ^{[4
]}

Burgio, Marco Dioguardi ^{[1
]}

Agnello, Francesco ^{[1
]}

Cabibbo, Giuseppe ^{[2
]}

Van Beers, Bernard E. ^{[5
]}

Bartolotta, Tommaso Vincenzo ^{[1
]}

Midiri, Massimo ^{[1
]}

Lagalla, Roberto ^{[1
]}

Brancatelli, Giuseppe ^{[1
]}

机构：

[1] Univ Palermo, Sect Radiol, Palermo, Italy

[2] Univ Palermo, Gastroenterol DiBiMiS, Palermo, Italy

[3] Duke Univ, Med Ctr, Dept Radiol, Durham, NC 27710 USA

[4] Univ Pittsburgh, Dept Radiol, Med Ctr, Pittsburgh, PA 15260 USA

[5] Univ Paris Diderot, Beaujon Univ Hosp Paris, Sorbonne Paris Cite, Dept Radiol,IPMA Lab,INSERM U773, Clichy, France

来源：

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY | 2014年 / 20卷 / 03期

关键词：

COMPUTED-TOMOGRAPHY; CT; CHOLANGIOCARCINOMAS; CLASSIFICATION; NODULES; ADENOMA; PHASE; MASS;

D O I：

10.5152/dir.2014.13184

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Detection and characterization of focal lesions in the cirrhotic liver may pose a diagnostic dilemma. Several benign and malignant lesions may be found in a cirrhotic liver along with hepatocellular carcinoma (HCC), and may exhibit typical or atypical imaging features. In this pictorial essay, we illustrate computed tomography and magnetic resonance imaging findings of lesions such as simple bile duct cysts, hemangioma, focal nodular hyperplasia-like nodules, peribiliary cysts, intrahepatic cholangiocarcinoma, lymphoma, and metastases, all of which occur in cirrhotic livers with varying prevalences. Pseudolesions, such as perfusion anomalies, focal confluent fibrosis, and segmental hyperplasia, will also be discussed. Imaging characterization of non-HCC lesions in cirrhosis is important in formulating an accurate diagnosis and triaging the patient towards the most appropriate management.

引用

页码：222 / 228

页数：7

共 28 条

[1] From the RSNA refresher courses - Screening the cirrhotic liver for hepatocellular carcinoma with CT and MR imaging: Opportunities and pitfalls [J].