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ABDOMEN / Hepatobiliary 79 / M, Abdominal pain
Number of Applicants : 47
2022-05-27
About Author | |
Authors | Sunyoung Lee |
Institution | Severance Hospital, Yonsei University College of Medicine |
carnival0126@gmail.com |
About Case | |||
Chief complaint or Title |
Abdominal pain | ||
Age | 79 | Sex | M |
Difficulty | For resident, For specialist | ||
Modality | CT, MR |
Case Figures | |||||||||
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Questions | ||
What is a diagnosis? |
Answer | |||
Diagnosis | Angiosarcoma | ||
Comments | Hepatic angiosarcoma ¡×Accounts for 2% of primary hepatic tumors ¡×Most common malignant mesenchymal tumor of the liver ¡×Commonly affects patients 60-70 years of age ¡×Strong male predominance (M:F = 4:1) ¡×Most patients have metastatic lesions at the time of presentation (site: lung > spleen) ¡×Poor prognosis (most patients die < 1 year) ¡×Can appear as 1)Multiple hypoattenuating nodules (foci of enhancement may be present) 2)Dominant masses with heterogeneous internal architecture in T2 MR (similar to HCC) - heterogeneous 3)Diffusely infiltrating lesion ¡×Hematologic abnormalities are often accompanied ¡×Microangiopathic hemolytic anemia ¡×Thrombocytopenia ¡×Disseminated intravascular coagulation |
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References | |||
Keywords | Angiosarcoma | ||
Attachment File | - |
Number of Applicants : 47
Correct Answer | 16 |
Shiga University of Medical Science | Akitoshi Inoue |
Jichi Medical University School of Medicine | Mitsuru Matsuki |
Juntendo University | Moto Nakaya |
The University of Tokyo | Toshihiro Furuta |
Kyoto University Hospital | Yasuhisa Kurata |
Kyoto University Hospital | Yusuke Utsunomiya |
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