IMP 1003 Accuracy of us and MR in the detection of hepatocellular carcinoma in end-stage cirrhotic livers

✍ Scribed by D. Sureda; M. Perez; H. Allende; J. Andreu; C. Gonzalez; C. Sanchez; M. Lopez; R. Dominguez; C. Margarit

• Publisher: Elsevier Science
• Year: 1997
• Tongue: English
• Weight: 114 KB
• Volume: 23
• Category: Article
• ISSN: 0301-5629
• DOI: 10.1016/s0301-5629(97)80469-3

✦ Synopsis

Angiosarcoma of the liver is a very rare primary liver malignancy It has a very malignant behavior, including acute onset, rapid and prograsive growing, rapid deterioration of condition and life-threatening bleeding. However, it is very difficult to be diagnosed by the modern image modalities, except by pathology

Taiwan is an endemic area for viral hepatitis Primary hepatocellular carcinoma is very prevelant and is the leading cause of death here Thinking of the possiblity of angiosarcoma of the liver and therefore avoiden of percutaneous liver biopsy are very important for patients an.d doctors. We presented the US characteristics of 5 cases with liver angiosarcoma, 3 females and 2 males The liver presented with cystic masses with ragged wall and internal septum in two cases, hyperechoic or hypoechoic nodular masses in two cases, diffuse and infiltative small nodules in one case Four of them also had splenic involvement but all had patent PV and no ascites The last patient died from biopsy with bleeding Conclusion: We should think of the possibility of angiosarcoma of the liver, if tumors involve both liver and spleen, no abdominal lymph nodes, nor ascites is demostreted Biopsy, either percutaneous or laparotomy, is better avoided particularly when tumors almost replace whole liver