Bi-Weekly Quiz
| Bi-Weekly Quiz
Home > Quiz > Bi-Weekly Quiz
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 | |||||||||
|
|||||||||
| 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 |
||
| 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 |
| 서울아산병원 | 김경원 |
| 세브란스 | 김승섭 |
| 중앙보훈병원 | 김주희 |
| 양산부산대학교병원 | 김지환 |
| 충북대학교병원 | 박영태 |
| - | 변성환 |
| 중앙보훈병원 | 신윤경 |
| 중앙보훈병원 | 여성희 |
| 삼성서울병원 | 이정현 |
| 중앙보훈병원 | 임정수 |