Hepatic inflammatory pseudotumor mimicking malignancy: the value of differential diagnosis on contrast enhanced ultrasound.
The aim of this study is to investigate whether the use of contrast enhanced ultrasound (CEUS) can improve the differential diagnostic performance between hepatic inflammatory pseudotumor (HIPT) and other malignant tumors.Material and Methods: Forty-four patients with histological proven HIPTs were...
| Publicado en: | Medical Ultrasonography Vol. 23; no. 1; pp. 15 - 22 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Romanian Society of Ultrasonography in Medicine & Biology
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148847902&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148847902 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18444172 AX1S jtl: Medical Ultrasonography issn: 18444172 maglogo: N pubinfo: dt: 2021 vid: 23 iid: 1 pid: 57537 pub: Romanian Society of Ultrasonography in Medicine & Biology artinfo: ui: 148847902 148847902 NLM32905565 148847902 10.11152/mu-2542 NLM32905565 148847902 ppf: 15 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Hepatic inflammatory pseudotumor mimicking malignancy: the value of differential diagnosis on contrast enhanced ultrasound. aug: au: Wen-Tao Kong Wen-Ping Wang Hai-Yun Shen Hai-Yan Xue Chun-Rui Liu Dan-Qing Huang Min Wu Kong, Wen-Tao Wang, Wen-Ping Shen, Hai-Yun Xue, Hai-Yan Liu, Chun-Rui Huang, Dan-Qing Wu, Min affil: Department of Ultrasound, Drumtower Hospital, Medical College of Nanjing University, Nanjing, China sug: subj: Liver Neoplasms Granuloma Bile Duct Neoplasms Bile Ducts Diagnosis, Differential Contrast Media Ultrasonography Retrospective Design Human ab: The aim of this study is to investigate whether the use of contrast enhanced ultrasound (CEUS) can improve the differential diagnostic performance between hepatic inflammatory pseudotumor (HIPT) and other malignant tumors.Material and Methods: Forty-four patients with histological proven HIPTs were included in this retrospective study. The features of conventional ultrasound (US) and CEUS were evaluated.Results: Three kinds of enhanced pattern can be seen in the 44 nodules including homogeneous (n=18, 41%), heterogeneous (n=16, 36%) and rim-like enhancement (n=10, 23%). All of the nodules showed hypo-enhancement during the portal and delayed phase. The dominant nodules (n=29, 66%) presented wash-out within 60 s after contrast injection. Quick wash-in and wash-out was seen in 18 nodules (41%). Eighteen nodules (41%) were correctly diagnosed as HIPT, whereas the remaining 26 cases were misdiagnosed as malignancies (n=20, 45%) or with an uncertain diagnosis (n=6, 14%).Conclusion: CEUS was not enough to differentiate HIPT from hepatic malignancies, especially intrahepatic cholangiocarcinoma and liver metastasis. However, some CEUS imaging characteristics may be helpful for HIPT diagnosis. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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