Rapid Progression of Multifocal Hepatic Epithelioid Hemangioendothelioma
نویسندگان
چکیده
A 60-year-old woman with past medical history of chronic pancreatitis and bilioenteric anastomosis was referred to our institution for routine unenhanced pancreatic MR evaluation. Besides the expected findings of uncomplicated chronic pancreatitis, the study revealed several focal lesions distributed through the liver, suggestive of metastases. They were hypointense in T1 imaging and remarkably hyperintense in T2-weighted images (Fig. 1). Blood tests where mostly unexceptional, only revealing elevated gammaglutamyl transferase [88 U/L (normal: 5--36 U/L)]. A liver biopsy was performed and, despite the obtention of only a small amount of diagnostic material, it was still possible to exclude carcinomatous, neuroendocrine and hepatocytary origin and to detect positivity for CD34, a marker present in tumors of hematopoietic or endothelial lineage.1 PET-CT was also realized for staging, demonstrating multiple slightly hypermetabolic liver lesions and significant hypermetabolism centered in the left aryepiglottic fold. After biopsy the neck lesion was diagnosed as squamous-cell carcinoma, non-related to the liver lesions. Neck MRI staging revealed invasion of the ipsilateral piriform sinus and
منابع مشابه
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عنوان ژورنال:
دوره 22 شماره
صفحات -
تاریخ انتشار 2015