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A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma
Hepatocellular adenomas (HCAs) are benign lesions of the liver which can rarely undergo malignant transformation. We report a 26-year-old woman with no underlying liver disease found to have an incidental liver lesion on noncontrast CT during workup for gastric reflux. Follow up MRI revealed a 10 cm...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889246/ https://www.ncbi.nlm.nih.gov/pubmed/31827660 http://dx.doi.org/10.1016/j.radcr.2019.10.030 |
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author | Cedillo, Mario A. Wong, Joshua Song, Joseph W. Liao, Joseph |
author_facet | Cedillo, Mario A. Wong, Joshua Song, Joseph W. Liao, Joseph |
author_sort | Cedillo, Mario A. |
collection | PubMed |
description | Hepatocellular adenomas (HCAs) are benign lesions of the liver which can rarely undergo malignant transformation. We report a 26-year-old woman with no underlying liver disease found to have an incidental liver lesion on noncontrast CT during workup for gastric reflux. Follow up MRI revealed a 10 cm gadoxetate-retaining lesion within the right hepatic lobe with imaging features suggestive of HCA vs focal nodular hyperplasia . Within this lesion was a focus of arterial enhancement with venous washout suggestive of hepatocellular carcinoma (HCC) within HCA, later confirmed at surgical resection. Understanding the imaging characteristics of HCAs as well as their rare ability to undergo malignant transformation is useful in differentiating HCAs from focal nodular hyperplasia. |
format | Online Article Text |
id | pubmed-6889246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68892462019-12-11 A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma Cedillo, Mario A. Wong, Joshua Song, Joseph W. Liao, Joseph Radiol Case Rep Gastrointestinal Hepatocellular adenomas (HCAs) are benign lesions of the liver which can rarely undergo malignant transformation. We report a 26-year-old woman with no underlying liver disease found to have an incidental liver lesion on noncontrast CT during workup for gastric reflux. Follow up MRI revealed a 10 cm gadoxetate-retaining lesion within the right hepatic lobe with imaging features suggestive of HCA vs focal nodular hyperplasia . Within this lesion was a focus of arterial enhancement with venous washout suggestive of hepatocellular carcinoma (HCC) within HCA, later confirmed at surgical resection. Understanding the imaging characteristics of HCAs as well as their rare ability to undergo malignant transformation is useful in differentiating HCAs from focal nodular hyperplasia. Elsevier 2019-11-27 /pmc/articles/PMC6889246/ /pubmed/31827660 http://dx.doi.org/10.1016/j.radcr.2019.10.030 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Gastrointestinal Cedillo, Mario A. Wong, Joshua Song, Joseph W. Liao, Joseph A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title | A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title_full | A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title_fullStr | A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title_full_unstemmed | A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title_short | A rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
title_sort | rare case of hepatocellular carcinoma arising from gadoxetate-retaining hepatic adenoma |
topic | Gastrointestinal |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889246/ https://www.ncbi.nlm.nih.gov/pubmed/31827660 http://dx.doi.org/10.1016/j.radcr.2019.10.030 |
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