Capsular retraction in hepatic giant hemangioma: CT and MR features

Yang, Dal Mo; Yoon, Myung Hwan; Kim, H. S.; Chung, Jin-Ho

doi:10.1007/s002610000119

Cited by 17 publications

(6 citation statements)

References 9 publications

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“…Capsular retraction -This alteration has been described as a sign of malignancy in focal hepatic lesions (28)(29)(30) . However, in at least one case of our study, it was possible to identify a peripheral hemangioma associated with capsular retraction, as already described in the literature (3,31,32) . In these cases, the fibrosis associated to the hemangioma peripheral localization may be responsible for the capsular retraction (31) .…”

supporting

confidence: 76%

Apresentações incomuns do hemangioma hepático: ensaio iconográfico

et al. 2006

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O nosso objetivo foi descrever e ilustrar aspectos incomuns do hemangioma hepático na ultra-sonografia (US), tomografia computadorizada (TC) e ressonância magnética (RM). A partir da análise retrospectiva de 300 casos de pacientes com diagnósticos de hemangioma hepático, por meio da análise combinada de exames de imagem, biópsia ou acompanhamento clínico, selecionamos aqueles com apresentação atípica em um ou mais métodos de imagem ou aqueles com evolução não usual, ilustrando os seus principais aspectos de imagem. Entre os casos apresentados, escolhemos pacientes com hemangiomas: hipoecogênicos na US; hipovasculares ou avasculares na TC e RM; com calcificações grosseiras; gigantes e medindo mais de 20 cm de diâmetro; predominantemente exofíticos; hipointensos em T2; promovendo defeito de perfusão; com cicatriz central e simulando hiperplasia nodular focal; com crescimento evolutivo. O hemangioma hepático é o tumor mais comum do fígado e geralmente tem apresentação típica. Porém, os seus diversos aspectos não usuais precisam ser conhecidos para auxiliar na orientação diagnóstica e conduta.

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supporting

confidence: 76%

Apresentações incomuns do hemangioma hepático: ensaio iconográfico

et al. 2006

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“…However, in recent reports, this finding has also been found in hepatic haemangioma, which is the most common benign tumour of the liver [5,6]. Capsular retraction associated with hepatic haemangioma is due to central thrombosis and fibrosis of large vascular channels of this tumour [6], which is seen more often in larger haemangioma ( Figure 8).…”

Section: Benign Tumourmentioning

confidence: 80%

“…Capsular retraction associated with hepatic haemangioma is due to central thrombosis and fibrosis of large vascular channels of this tumour [6], which is seen more often in larger haemangioma ( Figure 8). All reported cases of haemangioma with capsular retraction were larger than 4 cm and were classified as giant haemangioma [5,6].…”

Section: Benign Tumourmentioning

confidence: 99%

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Various causes of hepatic capsular retraction: CT and MR findings

Yang

Kim²,

Cho³

2002

BJR

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Hepatic capsular retraction adjacent to hepatic tumour is rare, although this finding has been described in a variety of malignant tumours and haemangioma. The authors have seen various causes of hepatic capsular retraction associated with hepatic tumours, including a variety of malignant tumours, haemangioma and post-treatment of malignant tumours, as well as cases not associated with a hepatic tumour, including confluent hepatic fibrosis, oriental cholangiohepatitis and bile duct necrosis. Furthermore, causes of pseudoretraction of the hepatic capsule, including accessory fissure and normal liver parenchyma between the protruded masses, are described.

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“…Soyer et al (3) reported that this finding was never associated with a benign tumor, supporting the hypothesis that a retraction of the liver capsule adjacent to a hepatic tumor is a finding specific to malignant tumors. Recently, Yang et al (9) reported a capsular retraction in hepatic giant hemangioma. A capsular retraction with hemangiomas in cirrhotic livers has also been described (10).…”

Section: Discussionmentioning

confidence: 99%

Focal Nodular Hyperplasia with Retraction of Liver Capsule: A Case Report

Lee

Park

et al. 2003

Korean J Radiol

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Focal nodular hyperplasia (FNH) is characterized by the presence a central scar with radiating fibrous septa. Our case had a capsular retraction, which was the result of an extension of the central scar to the surface. In addition, a hypointense scar on the T2-weighted image and a minimal enhancing central scar on the enhanced T1-weighted image, which was due to dense, sclerotic collagenous tissue, were observed. We report the first case of FNH with a capsular retraction.

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Capsular retraction in hepatic giant hemangioma: CT and MR features

Cited by 17 publications

References 9 publications

Apresentações incomuns do hemangioma hepático: ensaio iconográfico

Apresentações incomuns do hemangioma hepático: ensaio iconográfico

Various causes of hepatic capsular retraction: CT and MR findings

Focal Nodular Hyperplasia with Retraction of Liver Capsule: A Case Report

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