Correlation of the real-time ultrasonographic appearance of hepatic hemangiomas with angiography

✍ Scribed by Hiroyoshi Onodera; Kei Ohta; Masamichi Oikawa; Masahide Abe; Takashi Kanno; Binkoh Yoda; Yoshio Goto

• Publisher: John Wiley and Sons
• Year: 1983
• Tongue: English
• Weight: 522 KB
• Volume: 11
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.1870110803

✦ Synopsis

The ultrasonographic appearance of hepatic hemangiomas was studied in 19 patients (31 lesions). The detectability rate by real-time ultrasonography was 77%. A hyperechoic, sharply-marginated and internally homogeneous lesion is highly suggestive of hemangioma. If the hypoechoic lesion has homogeneous internal echoes and/ or strong marginal echoes, it is also suggestive of hemangioma. It is difficult to detect small lesions in the lower lateral part of the right lobe and lesions in the right lobe immediately under the diaphragm. Computed tomography should be the next procedure of choice in the evaluation process. If the computed tomography is not characteristic, angiography should be done to confirm the diagnosis. Indexing Words: Real-time ultrasonography Hepatic hemangioma Angiography Hepatic hemangioma, the most frequent benign tumor of the is occasionally found by ultrasonographic examination. Since the sensitivity of ultrasonography in detecting a spaceoccupying lesion of the liver has increased, it has become important to differentiate hepatic hemangiomas from malignant liver tumors. In this article we present the real-time ultrasonographic appearance of hepatic hemangiomas that has been seen in our clinic over the past 2 years.

Methods

Nineteen patients (31 lesions) with hepatic hemangiomas were studied in 1981 and 1982. In all patients, the hemangioma was initially detected by a screening examination using realtime ultrasonography. Patients ranged from 35 to 62 years in age. Eleven were female and eight were male. Twelve patients had a solitary lesion and seven had multiple lesions. The sizes of the