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

Autor: Massimo Galia, Adele Taibbi, Daniele Marin, Alessandro Furlan, Marco Dioguardi Burgio, Francesco Agnello, Giuseppe Cabibbo, Bernard E. Van Beers, Tommaso Vincenzo Bartolotta, Massimo Midiri, Roberto Lagalla, Giuseppe Brancatelli
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Diagnostic and Interventional Radiology, Vol 20, Iss 3, Pp 222-228 (2014)
Druh dokumentu: article
ISSN: 1305-3825
1305-3612
DOI: 10.5152/dir.2014.13184
Popis: 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.
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