A case of resected huge hepatic angiomyolipoma showing FDG uptake in PET/CT

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Other Title
  • FDG PET/CTにてFDG集積亢進がみられた巨大肝血管筋脂肪腫の1例
  • 症例報告 FDG PET/CTにてFDG集積亢進がみられた巨大肝血管筋脂肪腫の1例
  • ショウレイ ホウコク FDG PET/CT ニテ FDG シュウセキ コウシン ガ ミラレタ キョダイ カン ケッカンキン シボウ シュ ノ 1レイ

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Abstract

A 33-year-old Chinese woman was admitted to our hospital due to recent body weight loss (15 kg/year). Contrast enhanced computed tomography (CT) and ultrasonography (US) examinations revealed a huge hepatic tumor (17 cm in diameter) in the left hepatic lobe. There were no viral hepatic diseases or alcohol abuse, and no elevation of tumor markers (AFP, PIVKA-II, CEA, CA19-9). Contrast enhanced US with Sonazoid® showed the feeding artery, as well as heterogeneous enhancement from the periphery in the early vascular phase and a perfusion defect in the post-vascular phase. FDG uptake in the tumor (SUV max 6.1) was shown by FDG PET/CT. Following resection, the tumor was diagnosed histologically as a hepatic angiomyolipoma. In spite of recent advancements, it remains difficult to diagnosis a hepatic angiomyolipoma based on imaging findings.

Journal

  • Kanzo

    Kanzo 55 (7), 392-398, 2014

    The Japan Society of Hepatology

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