MR imaging of carcinosarcoma of the liver using Gd-EOB-DTPA

Autor: Masaaki Akahane, Takeyuki Watadani, Kuni Ohtomo, Wataru Gonoi, Nobuo Tomizawa, Hiroyuki Akai, Shigeru Kiryu, Y. Matsuoka, Tsuyoshi Yasutake, Masamichi Takahashi, Masako Ikemura
Rok vydání: 2014
Předmět:
Zdroj: Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine. 13(2)
ISSN: 1880-2206
Popis: We present a case of a 69-year-old man with primary hepatic carcinosarcoma who underwent computed tomography that revealed a hypervascular hepatic tumor with local dense calcification. Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging revealed hyperintense lesions in the hepatobiliary phase that indicated hepatocellular carcinoma with bile production. The patient underwent right lobectomy, and the presence of a sarcoma component within the tumor on histopathology confirmed liver carcinosarcoma that included hepatocellular carcinoma. In cases with atypical images that resemble this case, the hyperintensity of a lesion in the hepatobiliary phase aids differential diagnosis.
Databáze: OpenAIRE