The appearances of multiple biliary hamartomas of the liver (von Meyenberg complexes) on computed tomography |
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| Authors: | J C Cooke D A Cooke |
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| Institution: | 1. The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;2. Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;1. Department of Aquatic Animal Medicine, College of Fisheries, Huazhong Agricultural University, Wuhan 430070, China;2. Key Lab of Freshwater Animal Breeding, Ministry of Agriculture, Wuhan 430070, China;3. Freshwater Aquaculture Collaborative Innovation Center of Hubei Province, Wuhan 430070, China;4. State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Hubei, Wuhan 430070, China |
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| Abstract: | Computed tomography is well established in the management of patients with malignant disease, both as a staging procedure before initiation of treatment and in follow up. The presence of unsuspected metastases may affect the decision to perform surgery on the primary tumour and may alter the management of suspected recurrent tumour. Two cases are presented of patients with primary carcinoma whose computed tomography images showed multiple focal hepatic lesions suggestive of metastases. However multiple biliary hamartomas were found on histology, in one case by biopsy and in the other at post mortem. The differential diagnosis and significance of multiple liver defects on computed tomography is considered. |
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