MR Imaging of Carcinosarcoma of the Liver using Gd-EOB-DTPA

作者:Yasutake Tsuyoshi*; Kiryu Shigeru; Akai Hiroyuki; Watadani Takeyuki; Akahane Masaaki; Tomizawa Nobuo; Gonoi Wataru; Ikemura Masako; Takahashi Masamichi; Matsuoka Yujiro; Ohtomo Kuni
来源:Magnetic Resonance in Medical Sciences, 2014, 13(2): 117-121.
DOI:10.2463/mrms.2013-0011

摘要

We present a case of a 69-year-old man with primary hepatic carcinosarcoma who underwent computed tomography that revealed a hypervascular hepatic tumor with local dense calcification. Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging revealed hyperintense lesions in the hepatobiliary phase that indicated hepatocellular carcinoma with bile production. The patient underwent right lobectomy, and the presence of a sarcoma component within the tumor on histopathology confirmed liver carcinosarcoma that included hepatocellular carcinoma. In cases with atypical images that resemble this case, the hyperintensity of a lesion in the hepatobiliary phase aids differential diagnosis.