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Atypical hemangioma mimicking hepatocellular carcinoma with a special note on radiological and pathological findings
Authors:Masakatsu Tsurusaki  Ryota Kawasaki  Masato Yamaguchi  Koji Sugimoto  Takumi Fukumoto  Yonson Ku  Kazuro Sugimura
Affiliation:(1) Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuo-ku, Kobe 650-0017, Japan;(2) Department of Hepato-Biliary and Pancreatic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;(3) Present address: Department of Diagnostic Radiology, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
Abstract:We report a case of hemangioma with an atypical vascular enhancement pattern. The hemangioma showed peripheral rim enhancement at the arterial phase during dynamic magnetic resonance imaging, and the peripheral enhanced zone was still apparent during the delayed phase, as shown on double-phase computed tomography hepatic arteriography. The rim enhancement pattern of this case, mimicking that of hepatocellular carcinoma, may be due to the surrounding liver parenchymal fibrotic change caused by an active hepatitis C viral infection.
Keywords:Liver  Hemangioma  CT hepatic arteriography  MRI
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