Document Detail


Usefulness of novel imaging modalities in diagnosis of focal nodular hyperplasia of the liver.
MedLine Citation:
PMID:  9349997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 17-year-old woman was admitted because of a liver tumor found incidentally by ultrasonography. Liver function was normal and there were no markers of hepatitis viruses or malignancy. Abdominal ultrasonography, computed tomography (CT), and magnetic resonance imaging revealed a mass (2 cm in diameter) in the lateral segment of the left lobe of the liver. The lesion was not detected by hepatic arteriography. However, dynamic CT with fast scanning and dynamic CO2-enhanced ultrasonography demonstrated initial central enhancement of the mass followed by centrifugal spread of enhancement to the periphery. Color Doppler flow imaging detected a central color spot, shown to be an artery by a pulsed Doppler spectrum analysis. Fine-needle biopsy confirmed a diagnosis of focal nodular hyperplasia. Dynamic CT with fast scanning, dynamic CO2-enhanced ultrasonography, and color Doppler flow imaging were useful in detecting the vascular pattern specific to focal nodular hyperplasia. Investigation of further cases with these novel imaging modalities should help to establish a comprehensive diagnostic procedure and thus avoid unnecessary surgery for focal nodular hyperplasia, which is a completely benign lesion.
Authors:
Y Nishigaki; E Tomita; Y Matsuno; K Goto; T Ohnishi; Y Tanaka; H Iwai; H Asano; I Yasuda; K Nagura; T Wakahara; T Yamada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of gastroenterology     Volume:  32     ISSN:  0944-1174     ISO Abbreviation:  J. Gastroenterol.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-11-25     Completed Date:  1997-11-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9430794     Medline TA:  J Gastroenterol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  677-83     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Gifu Municipal Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Biopsy, Needle
Diagnosis, Differential
Female
Humans
Hyperplasia / diagnosis
Liver* / blood supply,  pathology,  radiography,  ultrasonography
Liver Diseases / diagnosis*
Liver Neoplasms / blood supply,  diagnosis
Magnetic Resonance Imaging
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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