nach oben

Abdominal Radiology

Erschienen in:

23.09.2016 | Pictorial Essay

Portal vein thrombus and infiltrative HCC: a pictoral review

verfasst von: Christopher P. Sereni, Shuchi K. Rodgers, Cheryl L. Kirby, Igor Goykhman

Erschienen in: Abdominal Radiology | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Infiltrative hepatocellular carcinoma (HCC) can be overlooked on imaging. Radiologists should have a high index of suspicion for this entity in patients with chronic liver disease. Careful evaluation of the portal vein may help the radiologist diagnose infiltrative HCC, due to the high association (68%–100%) of portal vein tumor thrombus with this condition. This article will review the imaging findings of infiltrative HCC, particularly its association with portal vein thrombus, and describe imaging pitfalls and mimickers.

Reynolds AR, Furlan A, Fetzer DT, et al. (2015) Infiltrative hepatocellular carcinoma: what radiologists need to know. Radiographics 35:371–386CrossRefPubMed

Choi JY, Lee JM, Sirlin CB (2014) CT and MR imaging diagnosis and staging of hepatocellular carcinoma. Part I. Radiology 272:635–654CrossRefPubMedPubMedCentral

Shah ZK, McKernan MG, Hahn PF, Sahani DV (2007) Enhancing and expansile portal vein thrombosis: value in the diagnosis of hepatocellular carcinoma in patients with multiple hepatic lesions. AJR 188:1320–1323CrossRefPubMed

Tublin ME, Dodd GD, Baron RL (1997) Benign and malignant portal vein thrombosis, differentiation by CT characteristics. AJR 168:719–723CrossRefPubMed

Choi JY, Lee JM, Sirlin CB (2014) CT and MR imaging diagnosis and staging of hepatocellular carcinoma. Part II. Radiology 273:30–50CrossRefPubMedPubMedCentral

Demirjian A, Peng P, Geshwind JFH, et al. (2011) Infiltrating hepatocellular carcinoma: seeing the tree through the forest. J Gastrointest Surg 15:2089–2097CrossRefPubMedPubMedCentral

Kanematsu M, Semelka RC, Leonardou R, Mastropasqua M, Lee JKT (2003) Hepatocellular carcinoma of diffuse type: MR imaging findings and clinical manifestations. J Magn Reson Imaging 18:189–195CrossRefPubMed

Mori H, Hayashi K, Uetani M, et al. (1987) High-attenuation recent thrombus of the portal vein: CT demonstration and clinical significance. Radiology 163:353–356CrossRefPubMed

Tarantino L, Francica G, Sordelli I, et al. (2006) Diagnosis of benign and malignant portal vein thrombosis in cirrhotic patients with hepatocellular carcinoma: color Doppler US, contrast-enhanced US, and fine-needle biopsy. Abdom Imaging 31(5):537–544CrossRefPubMed

10.

Lee WK, Chang SD, Duddalwar VA, et al. (2011) Imaging assessment of congenital and acquired abnormalities of the portal venous system. Radiographics 31:905–926CrossRefPubMed

11.

Sandrasegaran K, Tahir B, Nutakki K, et al. (2013) Usefulness of conventional MRI sequences and diffusion-weighted imaging in differentiating malignant from benign portal vein thrombus in cirrhotic patients. AJR 201:1211–1219CrossRefPubMed

12.

Rosenkrantz AB, Lee L, Matza BW, Kim S (2012) Infiltrative hepatocellular carcinoma: comparison of MRI sequences for lesion conspicuity. Clin Radiol 67:e105–e111CrossRefPubMed

Titel: Portal vein thrombus and infiltrative HCC: a pictoral review
verfasst von: Christopher P. Sereni
Shuchi K. Rodgers
Cheryl L. Kirby
Igor Goykhman
Publikationsdatum: 23.09.2016
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 1/2017
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-016-0855-z

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Portal vein thrombus and infiltrative HCC: a pictoral review

Abstract

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2017

Erratum to: The ‘‘abdominal whirlpool’’ sign

Heterotopic pancreatic rests: imaging features, complications, and unifying concepts

Correlation of hepatic fractional extracellular space using gadolinium enhanced MRI with liver stiffness using magnetic resonance elastography

The embedded organ sign

Recurrent pyogenic cholangitis: a review of imaging findings and clinical management

Hepatocellular carcinoma detection: diagnostic performance of a simulated abbreviated MRI protocol combining diffusion-weighted and T1-weighted imaging at the delayed phase post gadoxetic acid

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie