Contrast-enhanced ct and angiographic findings in hepatic perivascular epithelioid cell tumor

Authors

  • ShY Tay Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
  • WT Lao Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
  • ChL Chen Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
  • WP Chan Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan, Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan, Republic of China

DOI:

https://doi.org/10.5334/jbr-btr.428

Keywords:

Liver neoplasms, angiography

Abstract

We report a case of hepatic perivascular epithelioid cell tumor (PEComa) in a woman who was not a carrier of viral hepatitis and had a normal alpha-fetoprotein (AFP) level. CT scan showed a well-enhanced mass in the arterial-phase followed by early washout in the portal venous-phase in the lateral segment of the liver. Angiography revealed a hypervascular tumor in the liver with rapid washout of the contrast. If a hepatic tumor is found in a female patient with normal AFP level who is not a carrier of hepatitis and is free of alcoholic liver cirrhosis, tissue biopsy should precede treatment to avoid misdiagnosis of liver PEComa as hepatocellular carcinom

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Published

2013-09-01

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Original Article