Genotype-phenotype correlations in hepatocellular adenoma: an update of MRI findings

Autor: Maarten Thomeer, Jan Nm Ijzermans, Katharina Biermann, Robert A. de Man, Mirelle E.E. Bröker, Marianne de Vries, Roy S. Dwarkasing, Quido de Lussanet
Přispěvatelé: Radiology & Nuclear Medicine, Surgery, Pathology, Gastroenterology & Hepatology
Rok vydání: 2014
Předmět:
Zdroj: Diagnostic and Interventional Radiology, 20(3), 193-199. Turkish Society of Radiology
ISSN: 1305-3612
1305-3825
DOI: 10.5152/dir.2013.13315
Popis: Hepatocellular adenoma (HCA) is a generally benign liver tumor with the potential for malignancy and bleeding. HCAs are categorized into four subtypes on the basis of genetic and pathological features: hepatocyte nuclear factor 1 alpha-mutated HCA, beta-catenin-mutated HCA, inflammatory HCA, and unclassified HCA. Magnetic resonance imaging (MRI) plays an important role in the diagnosis, subtype characterization, and detection of HCA complications; it is also used to differentiate HCA from focal nodular hyperplasia. In this review, we present an overview of the genetic abnormalities, oncogenesis, and typical and atypical MRI findings of specific subtypes of HCA using contrast-enhanced MRI with or without hepatobiliary contrast agents (gadobenate dimeglumine and gadoxetate disodium). We also discuss their different management implications after diagnosis.
Databáze: OpenAIRE