Uncommon imaging evolutions of focal liver lesions in cirrhosis

被引：12

作者：

Vernuccio, Federica ^{[1
,2
,3
]}

Cannella, Roberto ^{[4
]}

Porrello, Giorgia ^{[4
]}

Calandra, Alberto ^{[4
]}

Midiri, Massimo ^{[4
]}

Furlan, Alessandro ^{[5
]}

Brancatelli, Giuseppe ^{[4
]}

机构：

[1] Univ Palermo, Dipartimento Promoz Salute Maternoinfantile Med I, Piazza Clin 2, I-90127 Palermo, Italy

[2] Univ Paris Diderot, Sorbonne Paris Cite, Paris, France

[3] IRCCS, Ctr Neurolesi Bonino Pulejo, SS113, I-98124 Messina, Italy

[4] Univ Hosp Palermo, Dipartimento Biomed Neurosci & Diagnost Avanza BI, Via Vespro 129, I-90127 Palermo, Italy

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

来源：

ABDOMINAL RADIOLOGY | 2019年 / 44卷 / 09期

关键词：

Hepatocellular carcinoma; Magnetic resonance imaging; Computed tomography; Liver cirrhosis; Liver neoplasms; HEPATOCELLULAR-CARCINOMA; SPONTANEOUS REGRESSION; NODULAR HYPERPLASIA; MRI FEATURES; CT; HEMANGIOMA; CHOLANGIOCARCINOMA; DIFFERENTIATION; RECURRENCE; DIAGNOSIS;

D O I：

10.1007/s00261-019-02101-4

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：

Objective The purpose of this article is to describe and illustrate uncommon imaging evolutions of benign (i.e., cyst, hemangioma, focal nodular hyperplasia-like nodules, and hepatic angiomyolipoma) and malignant (i.e., HCC and non HCC malignancies) lesions in a cirrhotic liver. The content highlights relevant pathogenesis and imaging clues for proper differential diagnosis. Revision of prior imaging and knowledge of these scenarios may help the abdominal radiologist to reach a noninvasive diagnosis and direct the patient to the most appropriate clinical management. Conclusion Uncommon imaging evolutions of focal liver lesions in cirrhosis may represent a challenge for the abdominal radiologist, with atypical changes in size, and internal vascularization changes that may lead to misdiagnoses.

引用

页码：3069 / 3077

页数：9