EURORAD ESR

Case 10779

Primary malignant fibrous histiocytoma of the liver presenting in a young woman

Author(s)
Alexandra Ntorkou1, Athina C. Tsili1, Fotini Apostolou2, Georgios Glantzounis3 , Moses Elisaf2, Georgios Imvrios4, Vasilios Papanikoloau4, Maria I. Argyropoulou1

(1) Department of Clinical Radiology,
(2) Department of Internal Medicine,
(3) Department of Surgery, University Hospital of Ioannina, Greece,
(4) Division of Transplantation, Department of Surgery, Hippokration General Hospital, Thessaloniki, Greece

University Hospital of Ioannina,
Leoforos S. Niarchou,
45500; Pl. Pargis, 2
45332 Ioannina, Greece;
Email:a_tsili@yahoo.gr
 
Patient
female, 23 year(s)
 
 
  • Figure 1
    CT examination

    Unenhanced transverse CT image depicts a large, poorly demarcated mass involving the right lobe of the liver, of heterogeneous low density. Hyperdense parts (arrow) within the lesion corresponded to areas of...

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT examination
     

    Transverse contrast-enhanced image (arterial phase) shows marked enhancement in the periphery of the lesion and abundant large and tortuous blood vessels surrounding mass (arrowhead).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal contrast-enhanced reformation (arterial phase) depicts extreme hepatomegaly and tumour’s supply from multiple dilated, tortuous surrounding vessels (arrowheads).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 3
    CT examination

    Coronal contrast-enhanced reformation (portal phase) shows mild enhancement of the solid components of the tumour. Transient perfusion disorders are seen in segment VI (arrowhead). A small amount of ascites is also...

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 4
    CT examination

    Transverse contrast-enhanced image (delayed phase) depicts centripetal enhancement of the solid components of the mass. Hypodense areas within the tumour corresponded to areas of necrosis on pathology.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
Unenhanced transverse CT image depicts a large, poorly demarcated mass involving the right lobe of the liver, of heterogeneous low density. Hyperdense parts (arrow) within the lesion corresponded to areas of haemorrhage on histology.
 
Transverse contrast-enhanced image (arterial phase) shows marked enhancement in the periphery of the lesion and abundant large and tortuous blood vessels surrounding mass (arrowhead).
 
Sagittal contrast-enhanced reformation (arterial phase) depicts extreme hepatomegaly and tumour’s supply from multiple dilated, tortuous surrounding vessels (arrowheads).
 
Coronal contrast-enhanced reformation (portal phase) shows mild enhancement of the solid components of the tumour. Transient perfusion disorders are seen in segment VI (arrowhead). A small amount of ascites is also present (arrow).
 
Transverse contrast-enhanced image (delayed phase) depicts centripetal enhancement of the solid components of the mass. Hypodense areas within the tumour corresponded to areas of necrosis on pathology.
 
 
 
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