Ultraschall Med 2007; 28(6): 547-552
DOI: 10.1055/s-2007-1012500
Titelbild

© Georg Thieme Verlag KG Stuttgart · New York

Titelbild - Kontrastmittelsonografie bei einem fibrolamellären hepatozellulären Karzinom: Ein Fallbericht

Title Page - Contrast-Enhanced Ultrasound in Fibro-Lamellar Hepatocellular Carcinoma: A Case Report
Further Information

Publication History

Publication Date:
21 December 2007 (online)

 

Abstract:

A case of fibrolamellar hepatocellular carcinoma, occurring in a 13 year-old girl with the characteristics of the dynamic enhancement observed during contrast-enhanced ultrasound within the tumour and within vascular extension into the portal vein is reported. The lesion showed marked hypervascularity in the early arterial and arterial phases with irregular, tortuous vessels. During the early portal phase, centripetal filling of the tumour was observed, except in an irregular area and adjacent hypo-enhancing bands, related to a central scar, on subsequent CT and MRI images. Centrifugal wash-out led to the absence of sustained enhancement during the late phase. Similar enhancement patterns were observed within the portal tumoural thrombosis, and evaluation of its extension was easy on delayed images. Contrast-enhanced ultrasound is a useful diagnostic tool for the characterisation and evaluation of extension of such a rare malignant hepatic tumour.

Literatur/References

01 INSERM ERI 13 54000 Nancy (France), Department of Radiology, Children's University Hospital Nancy, Allée du Morvan, 54511 Vandoeuvre-les-Nancy (France)

02 Department of Pathology, University Hospital Nancy, Adults Hospital, Allée du Morvan, 54511 Vandoeuvre-les-Nancy (France)

03 Department of Paediatric Oncology, Children's University Hospital Nancy, Allée du Morvan, 54511 Vandoeuvre-les-Nancy (France)

04 Department of Paediatric Surgery, University Hospital of Paris/Bicêtre, 94275 Le Kremlin Bicêtre (France)

Korrespondenzadresse/Correspondence

Prof. Michel Claudon

Department of Radiology, Children's University Hospital Nancy, Allée du Morvan

INSERM ERI 13 54000 Nancy (France)

54511 Vandoeuvre-les-Nancy (France)

Email: [email protected]