A case of misdiagnosis of liver cancer with metastases in a patient with systemic vasculitis

1999 ◽  
Vol 80 (1) ◽  
pp. 72-72
Author(s):  
N. Y. Savushkina ◽  
T. A. Fatykhova

In the group of malignant liver lesions, the frequency of occurrence of metastatic lesions is in the first place. It is distinguished by a pronounced variety of the echographic picture. However, not always a vivid picture of focal lesion corresponds to a true metastatic lesion. The presented observation can serve as an example of such a situation.

2019 ◽  
Vol 28 (3) ◽  
pp. 311-318 ◽  
Author(s):  
Janine Rennert ◽  
Isabel Wiesinger ◽  
Andreas Schicho ◽  
Philipp Wiggermann ◽  
Christian Stroszczynski ◽  
...  

Aim: Evaluation of the post-interventional success following irreversible electroporation (IRE) using a new color coded perfusion quantification software with contrast-enhanced ultrasound (CEUS) in patients with malignant lesions of the liver. Methods: Thirty-eight patients with 68 malignant liver lesions underwent IRE. All malignant lesions were investigated with CEUS before and within 24 hours following IRE to detect residual tumor tissue. The parameters analyzed by color coded perfusion quantification software were: the peak enhancement (pE), time to peak (TTP), mean transit time (mTT), rise (Ri) and wash-in area under the curve (WiAUC). Perfusion in the center, the margins of the lesions and in the surrounding liver were evaluated using these parameters. Results: Hepatocellular carcinoma (HCC) with complete ablation showed significantly different changes between the center and the margin of the lesions for WiAUC (p<0.05) and pE (p<0.01). Also significant differences were noted between the center of the lesions and the surrounded tissue for the same parameters (p<0.01). In the completely ablated metastatic lesions, significant differences were found between the center of the lesion and the margins (p < 0.01) and between the center of the lesion and the surrounding liver (p < 0.05) for WiAUC. mTT, TTP and Ri showed no significant changes between the center of the lesions, margin of the lesions or surrounding tissue. Also, no significant differences were found for these parameters in the different regions of interest for HCC or the metastatic lesions with partial ablation success. Conclusion: CEUS with perfusion imaging is a valuable supporting tool for the post-interventional evaluation of liver lesions following IRE. Focus should be placed on the peak enhancement (pE) and the wash-in area under the curve (WiAUC).


Author(s):  
T Haendl ◽  
D Strobel ◽  
N Steinerbrunner ◽  
M Frieser ◽  
EG Hahn ◽  
...  

2017 ◽  
Vol 43 (4) ◽  
pp. 819-847 ◽  
Author(s):  
Isabelle Durot ◽  
Stephanie R. Wilson ◽  
Jürgen K. Willmann

2016 ◽  
pp. 71-88
Author(s):  
Michael Loudin ◽  
Ranjan Mascarenhas ◽  
Barry Schlansky

2004 ◽  
Vol 22 (7) ◽  
pp. 1011-1016 ◽  
Author(s):  
Michael Mazonakis ◽  
John Damilakis ◽  
Michael Mantatzis ◽  
Panos Prassopoulos ◽  
Thomas Maris ◽  
...  

1999 ◽  
Vol 22 (6) ◽  
pp. 526-528 ◽  
Author(s):  
Johannes Kirchner ◽  
Ulf Laufer ◽  
Ralph Kickuth ◽  
Esther M. Schilling ◽  
Claudia Scherf ◽  
...  

2014 ◽  
Vol 38 (1) ◽  
pp. 152-159 ◽  
Author(s):  
Achim Eller ◽  
Axel Schmid ◽  
Joachim Schmidt ◽  
Matthias May ◽  
Michael Brand ◽  
...  

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