Angiomyolipoma of the liver: significance of CT and MR dynamic study

被引:63
作者
Ahmadi, T
Itai, Y
Takahashi, M
Onaya, H
Kobayashi, T
Tanaka, YO
Matsuzaki, Y
Tanaka, N
Okada, Y
机构
[1] Univ Tsukuba, Inst Clin Med, Dept Radiol, Tsukuba, Ibaraki 305, Japan
[2] Univ Tsukuba, Inst Clin Med, Dept Gastroenterol, Tsukuba, Ibaraki 305, Japan
[3] Univ Tokyo, Fac Med, Dept Radiol, Bunkyo Ku, Tokyo 113, Japan
来源
ABDOMINAL IMAGING | 1998年 / 23卷 / 05期
关键词
angiomyolipoma; liver; US; CT; MRI; angiography;
D O I
10.1007/s002619900391
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Angiomyolipoma is a benign mesenchymal tumor that has been reported frequently in the kidney but rarely in the liver. In the present study, we present four cases of hepatic angiomyolipoma with different radiologic appearances, discuss differential diagnosis, and review previously reported cases. One of our cases was followed for 8 years. Computed tomography (plain, enhanced, and dynamic study), magnetic resonance imaging (T1-weighted spin echo, T2-weighted spin echo, and dynamic study), ultrasonography, and angiography were performed in all cases. Although different radiologic appearances were observed in the tumors, based on different proportions of fat, blood vessels, and muscle, three cases were diagnosed as angiomyolipoma. In one case, it was quite difficult to make radiologic diagnosis; hepatocellular carcinoma with fatty metamorphosis in part was most likely suspected, but histopathological examination revealed angiomyolipoma with few fat elements. In the present study, early and prolonged enhancement of the lesion with the special pattern of time density/intensity curve was significant for angiomyolipoma, and we suggest that preoperative radiologic diagnosis of the lesion is possible in most of the cases. However, it can be quite difficult to distinguish angiomyolipoma from some hepatocellular carcinomas with fatty metamorphosis.
引用
收藏
页码:520 / 526
页数:7
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