Atypically enhanced cavernous hemangiomas of the liver: centrifugal enhancement does not preclude the diagnosis of hepatic hemangioma |
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Authors: | Masahiro Matsushita Yasuo Takehara Hatsuko Nasu Yuki Hirai Shuhei Yamashita Kenichi Souda Yoshimasa Kobayashi Katsutoshi Miura |
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Affiliation: | (1) Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan;(2) Department of Radiology, Hamamatsu University School of Medicine, Hamamatsu, Japan;(3) Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Japan;(4) Present address: Division of Gastroenterology, Haibara General Hospital, 2887-1 Hosoe, Makinohara, Shizuoka 421-0493, Japan |
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Abstract: | The imaging features of an atypically enhanced hepatic hemangioma have not been well described in the literature, and the presence of such atypia may sometimes cause clinical problems in the differential diagnosis. Herein, we report a case of hepatic hemangioma demonstrating a previously unreported atypical enhancement pattern. On dynamic computed tomography during hepatic arteriography, a centrifugal enhancement pattern and subsequent peritumoral ring-shaped enhancement mimicking corona enhancement were found in cavernous hemangiomas of the liver in a 68-year-old Japanese man. Histopathological diagnosis of cavernous hemangioma of the liver was made on a biopsy specimen. Considering the importance of differentiating benign hepatic tumor from various forms of malignancy, radiologists and hepatologists should be aware of rare enhancement patterns sometimes seen in hepatic hemangioma. Establishing knowledge of the entire spectrum of atypical hepatic hemangioma may benefit the rational approach to future cases. |
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Keywords: | cavernous hemangioma centrifugal enhancement imaging |
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