Radiology Unit, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), via Tricomi 5, 90127 Palermo, Italy.
Radiology Unit, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), via Tricomi 5, 90127 Palermo, Italy.
Diagn Interv Imaging. 2020 Sep;101(9):519-535. doi: 10.1016/j.diii.2020.01.010. Epub 2020 Feb 3.
Primary hepatic malignancies in non-cirrhotic liver include a wide spectrum of tumors, which are classified based on their cells of origin. Hepatocellular carcinoma is the most common primary malignant tumor, followed by intrahepatic cholangiocarcinoma. Beside these tumors, other primary malignancies in the non-cirrhotic liver are quite rare. Accurate diagnosis is often difficult with imaging alone and biopsy with further histopathological analysis is often necessary. However, many of these tumors exhibit suggestive or characteristic imaging features due to their different cellular components, allowing radiologists to suggest the correct diagnosis. Thus, the aim of this article is to provide an overview of imaging presentation of primary malignant liver tumors that develop in the non-cirrhotic liver, including potential differential diagnoses. Such knowledge is essential as it may contribute to accurate radiological diagnosis and improved patient outcome.
非肝硬化肝脏中的原发性肝恶性肿瘤包括广泛的肿瘤谱,它们根据其起源细胞进行分类。肝细胞癌是最常见的原发性恶性肿瘤,其次是肝内胆管癌。除了这些肿瘤,非肝硬化肝脏中的其他原发性恶性肿瘤非常罕见。仅凭影像学诊断往往很困难,通常需要进行活检以进行进一步的组织病理学分析。然而,由于其不同的细胞成分,许多这些肿瘤具有提示性或特征性的影像学特征,这使得放射科医生能够提出正确的诊断。因此,本文旨在提供非肝硬化肝脏中发生的原发性肝恶性肿瘤的影像学表现概述,包括潜在的鉴别诊断。这些知识至关重要,因为它可能有助于准确的放射学诊断和改善患者的预后。