Unusual sonographic appearance of a huge angiomyolipoma of the liver
Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a...
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| Published in | Journal of clinical ultrasound Vol. 38; no. 5; pp. 267 - 270 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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01.06.2010
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| Abstract | Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a thick echogenic rim. Color Doppler showed blood flow in the echogenic rim and around the lesion. Contrast sonography demonstrated strong enhancement in the solid rim from early arterial phase to the late phase and no enhancement in the central cystic part of the lesion. Spiral CT showed a well‐defined huge heterogeneous cystic mass with fatty density. At surgery the tumor was soft and encapsulated with a thin, smooth membrane. The cut surface of the tumor revealed a cystic appearance with necrotic tissue. The diagnosis of hepatic angiomyolipoma was confirmed by immunohistochemistry. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010 |
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| AbstractList | Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a thick echogenic rim. Color Doppler showed blood flow in the echogenic rim and around the lesion. Contrast sonography demonstrated strong enhancement in the solid rim from early arterial phase to the late phase and no enhancement in the central cystic part of the lesion. Spiral CT showed a well‐defined huge heterogeneous cystic mass with fatty density. At surgery the tumor was soft and encapsulated with a thin, smooth membrane. The cut surface of the tumor revealed a cystic appearance with necrotic tissue. The diagnosis of hepatic angiomyolipoma was confirmed by immunohistochemistry. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010 Abstract Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a thick echogenic rim. Color Doppler showed blood flow in the echogenic rim and around the lesion. Contrast sonography demonstrated strong enhancement in the solid rim from early arterial phase to the late phase and no enhancement in the central cystic part of the lesion. Spiral CT showed a well‐defined huge heterogeneous cystic mass with fatty density. At surgery the tumor was soft and encapsulated with a thin, smooth membrane. The cut surface of the tumor revealed a cystic appearance with necrotic tissue. The diagnosis of hepatic angiomyolipoma was confirmed by immunohistochemistry. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010 Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58-year-old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a thick echogenic rim. Color Doppler showed blood flow in the echogenic rim and around the lesion. Contrast sonography demonstrated strong enhancement in the solid rim from early arterial phase to the late phase and no enhancement in the central cystic part of the lesion. Spiral CT showed a well-defined huge heterogeneous cystic mass with fatty density. At surgery the tumor was soft and encapsulated with a thin, smooth membrane. The cut surface of the tumor revealed a cystic appearance with necrotic tissue. The diagnosis of hepatic angiomyolipoma was confirmed by immunohistochemistry. Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58-year-old woman with unusual sonographic features. The tumor was well demarcated from the surrounding liver and showed a heterogeneous cystic appearance with a thick echogenic rim. Color Doppler showed blood flow in the echogenic rim and around the lesion. Contrast sonography demonstrated strong enhancement in the solid rim from early arterial phase to the late phase and no enhancement in the central cystic part of the lesion. Spiral CT showed a well-defined huge heterogeneous cystic mass with fatty density. At surgery the tumor was soft and encapsulated with a thin, smooth membrane. The cut surface of the tumor revealed a cystic appearance with necrotic tissue. The diagnosis of hepatic angiomyolipoma was confirmed by immunohistochemistry. [copy 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010 |
| Author | Zhang, Xiao‐Hang Hua, Xing Li, Rui |
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| References_xml | – volume: 48 start-page: 831 year: 2006 article-title: Invasive growth of hepatic angiomyolipoma: a hitherto unreported ominous histologic feature publication-title: Histopathology – volume: 4 start-page: 152 year: 2005 article-title: Diagnostic analysis of hepatic angiomyolipoma publication-title: Hepatobiliary Pancreat Dis Int – volume: 25 year: 2009 article-title: Hemodynamic characterization of hepatic angiomyolipoma with least amount of fat evaluated by contrast‐enhanced magnetic resonance angiography publication-title: Abdom Imaging – volume: 182 start-page: 1027 year: 2004 article-title: Frequency and imaging appearance of hepatic angiomyolipoma in pediatric and adult patients with tuberous sclerosis publication-title: AJR Am J Roentgenol – volume: 41 start-page: 12 year: 2002 article-title: Hepatic angiomyolipoma: various appearances on two‐phase contrast scanning of spiral CT publication-title: Eur J Radiol – volume: 11 start-page: 452 year: 2007 article-title: Lee PH. Management of hepatic angiomyolipoma publication-title: Gastrointest Surg – volume: 132 start-page: 1679 year: 2008 article-title: Hepatic angiomyolipoma publication-title: Arch Pathol Lab Med – volume: 232 start-page: 420 year: 2004 article-title: Characterization of focal liver lesions with contrast specific US modes and a sulfur hexafluoride‐filled micro‐bubble contrast agent: diagnostic performance and confidence publication-title: Radiology – volume: 25 start-page: 321 year: 2005 article-title: Fat‐containing lesions of the liver: radiologic‐pathologic correlation publication-title: Radiographics – volume: 35 start-page: 109 year: 2007 article-title: Characterization of focal liver lesions: comparison of pulse‐inversion harmonic contrast‐enhanced sonography with contrast‐enhanced CT publication-title: J Clin Ultrasound – volume: 10 start-page: 935 year: 2000 article-title: US power Doppler of hepatic angiomyolipoma with low fat content publication-title: Eur Radiol – volume: 23 start-page: 34 year: 1999 article-title: Hepatic angiomyolipoma: a clinicopathologic study of 30 cases and delineation of unusual morphologic variants publication-title: Am J Surg Pathol – volume: 37 start-page: 735 year: 2006 article-title: Pathological and molecular analysis of sporadic hepatic angiomyolipoma publication-title: Hum Pathol – volume: 27 start-page: 180 year: 2002 article-title: Hepatic angiomyolipoma: radiologic and histopathologic correlation publication-title: Abdom Imaging – ident: e_1_2_1_14_2 doi: 10.1148/radiol.2322031401 – volume: 132 start-page: 1679 year: 2008 ident: e_1_2_1_3_2 article-title: Hepatic angiomyolipoma publication-title: Arch Pathol Lab Med doi: 10.5858/2008-132-1679-HA contributor: fullname: Perrolla AA – ident: e_1_2_1_6_2 doi: 10.1111/j.1365-2559.2006.02427.x – ident: e_1_2_1_4_2 doi: 10.1016/j.humpath.2006.01.028 – ident: e_1_2_1_13_2 doi: 10.1002/jcu.20310 – ident: e_1_2_1_2_2 doi: 10.1097/00000478-199901000-00004 – volume: 4 start-page: 152 year: 2005 ident: e_1_2_1_7_2 article-title: Diagnostic analysis of hepatic angiomyolipoma publication-title: Hepatobiliary Pancreat Dis Int contributor: fullname: Jiang TA – ident: e_1_2_1_15_2 doi: 10.1007/s11605-006-0037-3 – ident: e_1_2_1_11_2 doi: 10.1148/rg.252045083 – ident: e_1_2_1_8_2 doi: 10.1007/s003300051040 – ident: e_1_2_1_5_2 doi: 10.2214/ajr.182.4.1821027 – ident: e_1_2_1_9_2 doi: 10.1007/s00261-001-0057-0 – volume: 25 year: 2009 ident: e_1_2_1_12_2 article-title: Hemodynamic characterization of hepatic angiomyolipoma with least amount of fat evaluated by contrast‐enhanced magnetic resonance angiography publication-title: Abdom Imaging contributor: fullname: Xiao W – ident: e_1_2_1_10_2 doi: 10.1016/S0720-048X(01)00392-8 |
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| Snippet | Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old woman... Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58-year-old woman... Abstract Hepatic angiomyolipoma is a rare, benign, hepatic mesenchymal neoplasm. We report a case of an extremely large hepatic angiomyolipoma in a 58‐year‐old... |
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| SubjectTerms | angiomyolipoma Angiomyolipoma - diagnostic imaging Angiomyolipoma - surgery contrast agent Contrast Media Diagnosis, Differential Female Humans Image Enhancement - methods liver Liver - diagnostic imaging Liver - surgery Liver Neoplasms - diagnostic imaging Liver Neoplasms - surgery Microbubbles Middle Aged Phospholipids Sulfur Hexafluoride Tomography, Spiral Computed - methods ultrasonography Ultrasonography, Doppler, Color - methods |
| Title | Unusual sonographic appearance of a huge angiomyolipoma of the liver |
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