Hepatic inflammatory pseudotumor mimicking malignancy: the value of differential diagnosis on contrast enhanced ultrasound
| Autor: | Wen-Ping Wang, Dan-qing Huang, Chunrui Liu, Hai-Yan Xue, Wen-Tao Kong, Hai-Yun Shen, Min Wu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Acoustics and Ultrasonics Contrast Media Malignancy Granuloma Plasma Cell Metastasis Diagnosis Differential medicine Humans Radiology Nuclear Medicine and imaging Intrahepatic Cholangiocarcinoma Retrospective Studies Ultrasonography Radiological and Ultrasound Technology business.industry Liver Neoplasms Retrospective cohort study medicine.disease Bile Ducts Intrahepatic Bile Duct Neoplasms Homogeneous Inflammatory pseudotumor Radiology Differential diagnosis business Contrast-enhanced ultrasound |
| Zdroj: | Medical ultrasonography. 23(1) |
| ISSN: | 2066-8643 |
| Popis: | The aim of this study is to investigate whether the use of contrast enhanced ultrasound (CEUS) can improve the differential diagnostic performance between hepatic inflammatory pseudotumor (HIPT) and other malignant tumors.Material and methods: Forty-four patients with histological proven HIPTs were included in this retrospective study. The features of conventional ultrasound (US) and CEUS were evaluated.Results: Three kinds of enhanced pattern can be seen in the 44 nodules including homogeneous (n=18, 41%), heterogeneous (n=16, 36%) and rim-like enhancement (n=10, 23%). All of the nodules showed hypo-enhancement during the portal and delayed phase. The dominant nodules (n=29, 66%) presented wash-out within 60 s after contrast injection. Quick wash-in and wash-out was seen in 18 nodules (41%). Eighteen nodules (41%) were correctly diagnosed as HIPT, whereas the remaining 26 cases were misdiagnosed as malignancies (n=20, 45%) or with an uncertain diagnosis (n=6, 14%).Conclusion: CEUS was not enough to differentiate HIPT from hepatic malignancies, especially intrahepatic cholangiocarcinoma and liver metastasis. However, some CEUS imaging characteristics may be helpful for HIPT diagnosis. |
| Databáze: | OpenAIRE |
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