Malignant cystic and necrotic liver lesions: a pattern approach to discrimination.

Curr Probl Diagn Radiol

River Oaks Imaging and Diagnostics, Houston, TX, USA.

Published: March 2005

AI Article Synopsis

  • Understanding the various imaging appearances of malignant liver lesions is crucial for accurate diagnosis, and requires knowledge of their underlying pathophysiology.
  • A multimodality pictorial approach will illustrate a range of malignant cystic lesions, including hepatocellular carcinoma and cholangiocarcinoma, to highlight their unique imaging characteristics.
  • Key features, clinical symptoms, and prognosis of these lesions will be emphasized to help differentiate them from other liver disorders effectively.

Article Abstract

Malignant primary and metastatic lesions of the liver have a myriad of imaging appearances. Discriminating between the various lesions requires an understanding of the underlying pathophysiology and imaging characteristics that lead to their malignant appearances. A pattern approach of recognition by imaging with understanding of why particular lesions behave the way they do on sonography, CT, MRI, and nuclear scintigraphy can be developed. A broad selection of malignant cystic liver lesions will be displayed in a multimodality pictorial style including hepatocellular carcinoma, cholangiocarcinoma, cystic and necrotic hepatic metastases, biliary cystadenoma/cystadenocarcinoma, epitheloid hemangioendothelioma, hepatoblastoma, and cystic sarcomas. Characteristic imaging features, clinical symptoms, and prognosis will be discussed. Emphasis will be placed on consistent features of these malignant lesions that help to discriminate them from other hepatic disorders.

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Source
http://dx.doi.org/10.1067/j.cpradiol.2004.08.002DOI Listing

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