Interpreting body MRI cases: classic findings in abdominal MRI
AbstractFew things in radiology are “pathognomonic” in their appearance or presentation. However, having an awareness of those findings which are specific to a certain entity is important when interpreting imaging studies. These classic findings can be identified with many imaging modalities, but no modality provides as many recog nizable observations as an MRI. This results from the large variety of pulse sequences that provide high contrast resolution, prior to and following contrast administration. In this article, the most classically recognized abdominal findings are presented including the following:Liver: Cyst, ...
Source: Abdominal Imaging - March 28, 2018 Category: Radiology Source Type: research
Hepatic Adenomas
This article provides an in-depth review of how adenomas are classified, with a focus on the current rationale, the consensus, and controversies. (Source: Surgical Pathology Clinics)
Source: Surgical Pathology Clinics - March 26, 2018 Category: Pathology Authors: Michael Torbenson Source Type: research
Liver Imaging Techniques: Recognition of Uveal Melanoma Metastases
Conclusions: New multiple enhancing solid liver lesions should raise suspicion of uveal melanoma liver metastases. Discussion of challenging cases with the radiologist may be beneficial, as pertinent information such as size, location, and molecular prognostication status of the primary tumor can guide radiological interpretation of hepatic lesions.Ocul Oncol Pathol 2018;4:254-260 (Source: Ocular Oncology and Pathology)
Source: Ocular Oncology and Pathology - January 18, 2018 Category: Opthalmology Source Type: research
Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature.
This article is the first description of a spontaneous hepatic rupture in a young bodybuilder with a history of clenbuterol and ephedrine alkaloid use. The patient presented with a sudden mid-epigastric pain and vomiting. Hemoglobin levels decreased a few hours later and a computed tomography scan was performed which revealed a rupture of the right liver capsule and hemoperitoneum. Two attempts at transarterial embolization did not control the bleeding and a right hemihepatectomy was performed. The pathological report identified a hepatic adenoma, a capsular tear and diffuse peliosis hepatis. The patient was discharged in ...
Source: Revista Espanola de Enfermedades Digestivas - January 10, 2018 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
A practical diagnostic approach to hepatic masses.
Discussion of nonepithelial neoplasms is beyond the scope of this review. The hepatocytic lesions comprise dysplastic nodules, focal nodular hyperplasia, hepatic adenoma, and hepatocellular carcinoma, and the differential diagnosis can be challenging requiring clinicopathological correlation and application of immunohistochemical (IHC) markers. Liver is a common site for metastasis, sometimes presenting with an unknown primary site, and proper workup is the key to arriving at the correct diagnosis. The correct diagnosis in this setting requires a systematic approach with attention to histologic features, imaging findings, ...
Source: Indian Journal of Pathology and Microbiology - January 1, 2018 Category: Pathology Authors: Vyas M, Jain D Tags: Indian J Pathol Microbiol Source Type: research
Nonalcoholic steatohepatitis and hepatic adenomatosis: casual or causal relationship?
We report the case of a young woman with fructosemia and hepatic steatosis; multiple hepatic adenomas associated to steatohepatitis lesions were also found during clinical follow-up. The possible implications are discussed.
PMID: 29277999 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - December 28, 2017 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Inflammatory hepatic adenomas: Characterization with hepatobiliary MRI contrast agents
To characterize the MRI appearance of inflammatory hepatic adenomas using hepatobiliary contrast agents. (Source: Magnetic Resonance Imaging)
Source: Magnetic Resonance Imaging - December 5, 2017 Category: Radiology Authors: James F. Glockner, Christine U. Lee, Taofic Mounajjed Tags: Original contribution Source Type: research
Hepatic mass lesions: challenges and pitfalls
Though commonly encountered in clinical practice, hepatic mass lesions can present myriad diagnostic challenges, especially in needle biopsy specimens. Familiarity with the various pitfalls and caveats of morphologic evaluation and ancillary staining will likely improve both diagnostic accuracy and clinical outcomes. Herein, we discuss common hepatic mass lesions, including focal nodular hyperplasia, hepatic adenoma (and subtypes), variants of hepatocellular carcinoma, cirrhotic nodules (regenerative and dysplastic), segmental atrophy of the liver, and selected biliary lesions often seen in biopsy and resection specimens. ...
Source: Diagnostic Histopathology - November 29, 2017 Category: Pathology Authors: Feriyl Bhaijee, Kiyoko Oshima, Robert A. Anders Tags: Gastrointestinal and hepatic pathology Source Type: research
Extrahepatic metastasis of hepatocellular carcinoma arising from a hepatic adenoma without concurrent intrahepatic recurrence.
We report a case of extrahepatic metastasis of hcc arising from a hepatic adenoma that presented as a solitary sternal metastasis without any evidence of intrahepatic recurrence. Our patient was initially treated with radiation therapy and bland embolization, without response. Subsequently, the patient developed progressive disease while taking sorafenib. He later received chemotherapy with docetaxel and gemcitabine, with the development of multiple pulmonary and splenic nodules. However, he remained free of intrahepatic recurrence. To the best of our knowledge, this is the first case of extrahepatic metastasis of hcc aris...
Source: Current Oncology - September 7, 2017 Category: Cancer & Oncology Tags: Curr Oncol Source Type: research
Giant Hepatic Adenoma in a 12-Year-Old Girl
(Source: Journal of Gastrointestinal Cancer)
Source: Journal of Gastrointestinal Cancer - September 2, 2017 Category: Cancer & Oncology Source Type: research
A Rapidly Enlarging M ü llerian-Derived Hepatic Adenomyoma Clinically Mimicking Hepatic Adenoma in a Pregnant Woman
A Rapidly Enlarging Müllerian-Derived Hepatic Adenomyoma Clinically Mimicking Hepatic Adenoma in a Pregnant Woman
American Journal of Gastroenterology 112,
1217 (August 2017). doi:10.1038/ajg.2017.158
Authors: Catherine Luedke, Kadiyala Ravindra, Barbara Hertzberg, Carl Berg, Rex Bentley & Xuefeng Zhang (Source: The American Journal of Gastroenterology)
Source: The American Journal of Gastroenterology - August 2, 2017 Category: Gastroenterology Authors: Catherine Luedke Kadiyala Ravindra Barbara Hertzberg Carl Berg Rex Bentley Xuefeng Zhang Source Type: research
Role of selective intra-arterial embolization in benign liver tumors.
CONCLUSIONS: Provided there is a consensus among the multidisciplinary team, embolization is a useful option in the perioperative management of giant and/or symptomatic benign liver tumors.
PMID: 28551065 [PubMed - as supplied by publisher] (Source: Radiologia)
Source: Radiologia - May 24, 2017 Category: Radiology Authors: Ferrer Puchol MD, Parra Casado C, Cervera Araez A, Sala López R, Esteban Hernández E, Cremades Mira A, Ramiro Gandia R Tags: Radiologia Source Type: research
18-Fluoro-deoxyglucose uptake in inflammatory hepatic adenoma: A case report.
Authors: Liu W, Delwaide J, Bletard N, Delvenne P, Meunier P, Hustinx R, Detry O
Abstract
Positron emission tomography computed tomography (PET-CT) using 18-Fluoro-deoxyglucose ((18)FDG) is an imaging modality that reflects cellular glucose metabolism. Most cancers show an uptake of (18)FDG and benign tumors do not usually behave in such a way. The authors report herein the case of a 38-year-old female patient with a past medical history of cervical intraepithelial neoplasia and pheochromocytoma, in whom a liver lesion had been detected with PET-CT. The tumor was laparoscopically resected and the diagnosis...
Source: World Journal of Hepatology - May 5, 2017 Category: Gastroenterology Tags: World J Hepatol Source Type: research
Regression of hepatocellular adenomas and systemic inflammatory syndrome after cessation of estrogen therapy
This article is protected by copyright. All rights reserved. (Source: Hepatology)
Source: Hepatology - March 12, 2017 Category: Internal Medicine Authors: Marie Sinclair, Anthony Schelleman, Daljean Sandhu, Peter W Angus Tags: Clinical Observations in Hepatology Source Type: research
