Multiple hepatocellular adenomas in a patient with glycogen storage disease type I: various enhancement patterns in MRI with Gd-EOB-DTPA
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Ayami Sakamoto, Hideyuki Hayashi, Ichiro Sakamoto, Ichiro Isomoto, Susumu Eguchi, Mitsuhisa Takatsuki, Takashi Kanematsu, Kuniko Abe, Tomayoshi Hayash
- چاپ و سال / کشور: 2011
Description
The patient is a 20-year-old man with glycogen storage disease type I (GSD-type I). In his teens, multiple focal hepatic masses were detected on abdominal ultrasonography (US), which were diagnosed as multiple hepatocellular adenomas from the imaging. During follow-up, these masses had shown intermittent growth in size. In the evaluation of Gd-EOB-DTPA (gadolinium-ethoxybenzyl- diethylenetriamine penta-acetic acid) MR imaging, these masses showed various signal intensities from hypo- to hyperintense during the hepatocyte-specific phase. Intermittent growth and elevation of serum PIVKA- II levels indicate the potential for malignant transformation, so the patient underwent partial hepatectomy. The resected masses were all consistent with benign hepatocellular adenomas histopathologically.
Abdom Imaging (2011) DOI: 10.1007/s00261-011-9721-1