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An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI

Sarcoidosis is a granulomatous disease, in which liver affection is common, contrary to a primary hepatic lymphoma that is very rarely seen. On MRI both present with almost the same imaging features: hypointense in T1-weighted and hyperintense in T2-weighted sequences. Our patient with a histologica...

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Autores principales: Do, Thuy D, Neurohr, Claus, Michl, Marlies, Reiser, Maximilian F, Zech, Christoph J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184379/
https://www.ncbi.nlm.nih.gov/pubmed/25298864
http://dx.doi.org/10.1177/2047981613493625
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author Do, Thuy D
Neurohr, Claus
Michl, Marlies
Reiser, Maximilian F
Zech, Christoph J
author_facet Do, Thuy D
Neurohr, Claus
Michl, Marlies
Reiser, Maximilian F
Zech, Christoph J
author_sort Do, Thuy D
collection PubMed
description Sarcoidosis is a granulomatous disease, in which liver affection is common, contrary to a primary hepatic lymphoma that is very rarely seen. On MRI both present with almost the same imaging features: hypointense in T1-weighted and hyperintense in T2-weighted sequences. Our patient with a histologically confirmed sarcoidosis in the lungs showed liver lesions that were similar to sarcoidosis manifestations of the liver. Due to size, progression and overlapping features with secondary malignant liver lesions within an interval of 5 months, a biopsy was conducted and confirmed a primary hepatic lymphoma with diffuse large b-cells. Thus, we would recommend performing a biopsy in ambiguous lesions with indistinguishable characteristics and progression within a short follow-up interval.
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spelling pubmed-41843792014-10-08 An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI Do, Thuy D Neurohr, Claus Michl, Marlies Reiser, Maximilian F Zech, Christoph J Acta Radiol Short Rep Case Report Sarcoidosis is a granulomatous disease, in which liver affection is common, contrary to a primary hepatic lymphoma that is very rarely seen. On MRI both present with almost the same imaging features: hypointense in T1-weighted and hyperintense in T2-weighted sequences. Our patient with a histologically confirmed sarcoidosis in the lungs showed liver lesions that were similar to sarcoidosis manifestations of the liver. Due to size, progression and overlapping features with secondary malignant liver lesions within an interval of 5 months, a biopsy was conducted and confirmed a primary hepatic lymphoma with diffuse large b-cells. Thus, we would recommend performing a biopsy in ambiguous lesions with indistinguishable characteristics and progression within a short follow-up interval. SAGE Publications 2014-05-10 /pmc/articles/PMC4184379/ /pubmed/25298864 http://dx.doi.org/10.1177/2047981613493625 Text en © The Foundation Acta Radiologica 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Case Report
Do, Thuy D
Neurohr, Claus
Michl, Marlies
Reiser, Maximilian F
Zech, Christoph J
An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title_full An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title_fullStr An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title_full_unstemmed An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title_short An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
title_sort unusual case of primary hepatic lymphoma mimicking sarcoidosis in mri
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184379/
https://www.ncbi.nlm.nih.gov/pubmed/25298864
http://dx.doi.org/10.1177/2047981613493625
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