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Titolo:
IMAGING OF ATYPICAL CYSTIC LESIONS OF THE LIVER - REVIEW OF 26 SURGICAL CASES
Autore:
VUILLEMINBODAGHI V; ZINS M; VULLIERME MP; DENYS A; SIBERT A; VILGRAIN V; BELGHITI J; MENU Y;
Indirizzi:
INST MUTUALISTE MONTSOURIS,6 PL PORT PRINCE F-75013 PARIS FRANCE HOP BEAUJON,SERV RADIOL CLICHY FRANCE HOP BEAUJON,SERV CHIRURG DIGEST CLICHY FRANCE
Titolo Testata:
Gastroenterologie clinique et biologique
fascicolo: 5, volume: 21, anno: 1997,
pagine: 394 - 399
SICI:
0399-8320(1997)21:5<394:IOACLO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
SIMPLE HEPATIC CYSTS; BILIARY CYSTADENOMA; PATHOLOGICAL CORRELATION; SONOGRAPHIC FINDINGS; CYSTADENOCARCINOMA; CT; ULTRASOUND; DISEASE;
Keywords:
LIVER NEOPLASM; LIVER CYST; ULTRASONOGRAPHY; CT SCAN; MR IMAGING; CYSTADENOMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
V. Vuilleminbodaghi et al., "IMAGING OF ATYPICAL CYSTIC LESIONS OF THE LIVER - REVIEW OF 26 SURGICAL CASES", Gastroenterologie clinique et biologique, 21(5), 1997, pp. 394-399

Abstract

Objectives. - Differential diagnosis between a benign cystic hepatic lesion, biliary cyst, and a potentially malignant lesion or biliary cystadenoma, is difficult. The aim of this study was to evaluate imagingfeatures of atypical cystic liver lesions and the role of imaging techniques in determining a specific diagnosis. Methods. - Twenty-six patients with atypical cystic hepatic lesions were included in this study. All patients underwent surgery and pathological diagnosis was atypical hepatic cyst (n = 18), biliary cystadenoma (n = 4), hydatic cyst (n= 3), and ciliated hepatic foregut cyst (n = 1). We systematically reviewed US (n = 24), CT (n = 24), and MRI (n = 8) examinations. Results. - Septum were seen in both cystadenomas (US: n = 4, CT: n = 1) and hepatic cysts (US: n = 11, CT: n = 6). No mural nodules were seen. A thin wall was noted in both hepatic cysts (n = 2) and cystadenomas (n = 3). The intrahepatic biliary tract was dilated in 3 patients with hepatic cysts, 1 patient with cystadenoma, and 2 patients with hydatic cysts. Calcifications were noted in 1 patient with hepatic cyst, 3 patients with hydatic cysts, and in the case of ciliated hepatic foregut cyst. We found an associated typical hepatic cyst in 77% of cases (14/18)with atypical hepatic cysts; this was never found in other atypical cystic lesions (P < 0.01). Conclusion. - In this series, no imaging features provided a differential diagnosis of atypical hepatic cysts and cystademonas. The presence of associated typical hepatic cysts is helpful in suggesting the diagnosis of hepatic cyst.

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Documento generato il 08/07/20 alle ore 01:49:25