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Hepatic Cavernous Hemangioma in Cirrhotic Liver: Imaging Findings

 Jeong-Sik Yu  ;  Ki Whang Kim  ;  Mi-Suk Park  ;  Sang-Wook Yoon 
 Korean Journal of Radiology, Vol.1(4) : 185-190, 2000 
Journal Title
 Korean Journal of Radiology 
Issue Date
Diagnostic Imaging* ; Female ; Hemangioma, Cavernous/complications ; Hemangioma, Cavernous/diagnosis* ; Humans ; Liver Cirrhosis/complications* ; Liver Neoplasms/complications ; Liver Neoplasms/diagnosis* ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Tomography, X-Ray Computed
Objective: To document the imaging findings of hepatic cavernous hemangioma detected in cirrhotic liver. Materials and Methods: The imaging findings of 14 hepatic cavernous hemangiomas in ten patients with liver cirrhosis were retrospectively analyzed. A diagnosis of hepatic cavernous hemangioma was based on the findings of two or more of the following imaging studies: MR, including contrast-enhanced dynamic imaging (n = 10), dynamic CT (n = 4), hepatic arteriography (n = 9), and US (n = 10). Results: The mean size of the 14 hepatic hemangiomas was 0.9 (range, 0.5 1.5) cm in the longest dimension. In 11 of these (79%), contrast-enhanced dynamic CT and MR imaging showed rapid contrast enhancement of the entire lesion during the early phase, and hepatic arteriography revealed globular enhancement and rapid filling-in. On contrast-enhanced MR images, three lesions (21%) showed partial enhancement until the 5-min delayed phases. US indicated that while three slowly enhancing lesions were homogeneously hyperechoic, 9 (82%) of 11 showing rapid enhancement were not delineated. Conclusion: The majority of hepatic cavernous hemangiomas detected in cirrhotic liver are small in size, and in many, hepatic arteriography and/or contrastenhanced dynamic CT and MR imaging demonstrates rapid enhancement. US, however, fails to distinguish a lesion of this kind from its cirrhotic background.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Park, Mi-Suk(박미숙) ORCID logo https://orcid.org/0000-0001-5817-2444
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
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