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Other Rare Lesions

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Book cover Atlas of Contrast-enhanced Sonography of Focal Liver Lesions

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Abstract

The angiomyolipoma (AML) is a mixed mesenchymal tumor that rarely arises in the liver, being more frequent in the kidney. It presents as single or multiple lesions. It is constituted from smooth muscle cells, adipocytes, and blood vessels in variable percentages influencing imaging appearance. AML is benign and rarely evolves into a malignant form with invasion of adjacent vessels and metastases in the omental zone [1]. The preoperative diagnosis is not easy because of the not-infrequent overlapping findings with other benign or malignant lesions with fatty content [2]. The size can vary from few millimeters up to 30 cm, so AML can be an incidental finding in asymptomatic patients or, in large lesions, presents with abdominal pain due to compression of adjacent structures or rupture with bleeding [3].

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References

Angiomyolipoma

  1. Nonomura A, Enomoto Y, Takeda M et al (2006) Invasive growth of hepatic angiomyolipoma; a hitherto unreported ominous histological feature. Histopathology 48(7):831–835

    Article  CAS  PubMed  Google Scholar 

  2. Bartolotta TV, Runza G, Minervini M et al (2003) Hepatic angiomyolipoma: contrast-enhanced US pulse inversion in a case. Radiol Med 105(5–6):514–518

    PubMed  Google Scholar 

  3. Tajima S, Suzuki A, Suzumura K (2014) Ruptured hepatic epithelioid angiomyolipoma: a case report and literature review. Case Rep Oncol 7(2):369–375

    Article  PubMed Central  PubMed  Google Scholar 

  4. Wang B, Ye Z, Chen Y, Zhao Q, Huang M, Chen F et al (2015) Hepatic angiomyolipomas: ultrasonic characteristics of 25 patients from a single center. Ultrasound Med Biol 41(2):393–400

    Article  CAS  PubMed  Google Scholar 

  5. Zhong DR, Ji XL (2000) Hepatic angiomyolipoma-misdiagnosis as hepatocellular carcinoma: a report of 14 cases. World J Gastroenterol 6:608–612

    PubMed  Google Scholar 

  6. Wang CP, Li HY, Wang H, Guo XD, Liu CC, Liu SH (2014) Hepatic angiomyolipoma mimicking hepatocellular carcinoma: magnetic resonance imaging and clinical pathological characteristics in 9 cases. Medicine (Baltimore) 93(28):e194

    Article  Google Scholar 

Solitary Necrotic Nodule

  1. De Luca M, Louis B, Formisano C et al (2000) Solitary necrotic nodule of the liver misinterpreted as malignant lesion: considerations on two cases. J Surg Oncol 74(3):219–222

    Article  PubMed  Google Scholar 

  2. Yoon KH, Yun KJ, Lee JM et al (2000) Solitary necrotic nodules of the liver mimicking hepatic metastasis: report of two cases. Korean J Radiol 1(3):165–168

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Colagrande S, Politi LS, Messerini L et al (2003) Solitary necrotic nodule of the liver: imaging and correlation with pathologic features. Abdom Imaging 28:41–44

    Article  CAS  PubMed  Google Scholar 

  4. Wang LX, Liu K, Lin GW, Zhai RY (2012) Solitary necrotic nodules of the liver: histology and diagnosis with CT and MRI. Hepat Mon 12(8):e6212

    Article  PubMed Central  PubMed  Google Scholar 

  5. Koea J, Taylor G, Miller M et al (2003) Solitary necrotic nodule of the liver: a riddle that is difficult to answer. J Gastrointest Surg 7(5):627–630

    Article  PubMed  Google Scholar 

  6. Iwase K, Higaki J, Yoon HE et al (2002) Solitary necrotic nodule of the liver. J Hepatobiliary Pancreat Surg 9(1):120–124

    Article  PubMed  Google Scholar 

  7. Wang Y, Yu X, Tang J, Li H, Liu L, Gao Y (2007) Solitary necrotic nodule of the liver: contrast-enhanced sonography. J Clin Ultrasound 35(4):177–181

    Article  PubMed  Google Scholar 

Inflammatory Pseudotumor

  1. Park JY, Choi MS, Lim YS, Park JW, Kim SU, Min YW et al (2014) Clinical features, image findings, and prognosis of inflammatory pseudotumor of the liver: a multicenter experience of 45 cases. Gut Liver 8(1):58–63

    Article  PubMed Central  PubMed  Google Scholar 

  2. Locke JE, Choti MA, Torbenson MS et al (2005) Inflammatory pseudotumor of the liver. J Hepatobiliary Pancreat Surg 12(4):314–316

    Article  PubMed  Google Scholar 

  3. Yoon KH, Ha HK, Lee JS et al (1999) Inflammatory pseudotumor of the liver in patients with recurrent pyogenic cholangitis: CT-histopathologic correlation. Radiology 211(2):373–379

    Article  CAS  PubMed  Google Scholar 

  4. Park KS, Jang BK, Chung W et al (2006) Inflammatory pseudotumor of liver: a clinical review of 15 cases. Korean J Hepatol 12(3):429–438

    PubMed  Google Scholar 

  5. Schuessler G, Fellbaum C, Fauth F et al (2006) The inflammatory pseudotumor – an unusual liver tumor. Ultraschall Med 27(3):273–279

    Article  CAS  PubMed  Google Scholar 

  6. Saito K, Kotake F, Ito N et al (2002) Inflammatory pseudotumor of the liver in a patient with rectal cancer: a case report. Eur Radiol 12(10):2484–2487

    Article  PubMed  Google Scholar 

  7. Lim JH, Lee JH (1995) Inflammatory pseudotumor of the liver. Ultrasound and CT features. Clin Imaging 19(1):43–46

    Article  CAS  PubMed  Google Scholar 

  8. Koide H, Sato K, Fukusato T et al (2006) Spontaneous regression of hepatic inflammatory pseudotumor with primary biliary cirrhosis: a case report and literature review. World J Gastroenterol 12(10):1645–1648

    PubMed Central  PubMed  Google Scholar 

  9. Kong WT, Wang WP, Cai H, Huang BJ, Ding H, Mao F (2014) The analysis of enhancement pattern of hepatic inflammatory pseudotumor on contrast-enhanced ultrasound. Abdom Imaging 39(1):168–174

    Article  PubMed  Google Scholar 

Hemangiopericytoma (Lypomatous Subtype)

  1. Vilanova J, Barcelò J, Smirniotopoulos J et al (2004) Hemangioma from head to toe: MR imaging with pathologic correlation. Radiographics 24:367–385

    Article  PubMed  Google Scholar 

  2. Bokshan SL, Doyle M, Becker N, Nalbantoglu I, Chapman WC (2012) Hepatic hemangiopericytoma/solitary fibrous tumor: a review of our current understanding and case study. J Gastrointest Surg 16(11):2170–2176

    Article  PubMed  Google Scholar 

  3. Cheng NY, Chen RC, Chen TY, Tu HY (2008) Contrast-enhanced ultrasonography of hepatic metastasis of hemangiopericytoma. J Ultrasound Med 27(4):667–671

    PubMed  Google Scholar 

  4. Aliberti C, Benea G, Kopf B, De Giorgi U (2006) Hepatic metastases of hemangiopericytoma: contrast-enhanced MRI, contrast-enhanced ultrasonography and angiography findings. Cancer Imaging 6:56–59

    Article  PubMed Central  PubMed  Google Scholar 

Extramedullary Intrahepatic Hematopopiesis

  1. Aytac S, Fitoz S, Akyar S et al (1999) Focal intrahepatic extramedullary hematopoiesis: color Doppler US and CT findings. Abdom Imaging 24:366–368

    Article  CAS  PubMed  Google Scholar 

  2. Gupta P, Naran A, Auh YH et al (2004) Focal intrahepatic extramedullary hematopoiesis presenting as fatty lesions. AJR Am J Roentgenol 182(4):1031–1032

    Article  PubMed  Google Scholar 

  3. Wong Y, Chen F, Tai KS et al (1999) Imaging features of focal intrahepatic extramedullary hematopoiesis. J Radiol Br 72:906–910

    Article  CAS  Google Scholar 

  4. Quaia E (2007) Mezzi di contrasto in ecografia. Applicazioni addominali. Springer, Milan

    Book  Google Scholar 

Hepatic Splenosis

  1. Tsitouridis I, Michaelides M, Sotiriadis C, Arvaniti M (2010) CT and MRI of intraperitoneal splenosis. Diagn Interv Radiol 16(2):145–149

    PubMed  Google Scholar 

  2. Hovius JW, Verberne HJ, Bennink RJ, Blok WL (2010) The (re)generation of splenic tissue. BMJ Case Rep 2010. pii:bcr0320102833. doi:10.1136/bcr.03.2010.2833

  3. Choi GH, Ju MK, Kim JY, Kang CM, Kim KS, Choi JS et al (2008) Hepatic splenosis preoperatively diagnosed as hepatocellular carcinoma in a patient with chronic hepatitis B: a case report. J Korean Med Sci 23(2):336–341

    Article  PubMed Central  PubMed  Google Scholar 

  4. Imbriaco M, Camera L, Manciuria A, Salvatore M (2008) A case of multiple intra-abdominal splenosis with computed tomography and magnetic resonance imaging correlative findings. World J Gastroenterol 14(9):1453–1455

    Article  PubMed Central  PubMed  Google Scholar 

  5. Ferraioli G, Di Sarno A, Coppola C, Giorgio A (2006) Contrast-enhanced low-mechanical-index ultrasonography in hepatic splenosis. J Ultrasound Med 25(1):133–136

    PubMed  Google Scholar 

Epithelioid Hemangioendothelioma

  1. Earnest F, Johnson CD (2006) Case 96: Hepatic epithelioid hemangioendothelioma. Radiology 240:295–298

    Article  PubMed  Google Scholar 

  2. Mermuys K, Vanhoenacker PK, Roskams T, D’Haenens P, Van Hoe L (2004) Epithelioid hemangioendothelioma of the liver: radiologic-pathologic correlation. Abdom Imaging 29:221–223

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, University Hospital, Palermo, Italy

    Tommaso Vincenzo Bartolotta, Adele Taibbi & Massimo Midiri

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  1. Tommaso Vincenzo Bartolotta
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  2. Adele Taibbi
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  3. Massimo Midiri
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© 2015 Springer International Publishing Switzerland

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Bartolotta, T.V., Taibbi, A., Midiri, M. (2015). Other Rare Lesions. In: Atlas of Contrast-enhanced Sonography of Focal Liver Lesions. Springer, Cham. https://doi.org/10.1007/978-3-319-17539-3_5

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  • DOI: https://doi.org/10.1007/978-3-319-17539-3_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17538-6

  • Online ISBN: 978-3-319-17539-3

  • eBook Packages: MedicineMedicine (R0)

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