International Journal of Radiology and Diagnostic Imaging

International Journal of Radiology and Diagnostic Imaging

2020, Vol. 3, Issue 4, Part B

Primary hepatic leiomyosarcoma (PHLS): A case report and literature review
Author(s)
Nobukata Kazawa and Yoriko Yamashita
Abstract
We encountered a rare case of HLMS.US and plain CT showed ill-defined para-caval hepatic tumor in the caudate lobe. The contrast enhanced CT showed a relatively poorly enhanced tumor with non-enhanced area suggesting necrosis. On MRI, the tumor presented with low signal intensity on T1 in-phased image and heterogeneously high signal intensity on T2WI. On T1-opposed-phase, the tumor showed the slight elevation of the signal compared with T1 in -phased image. This phenomenon suggested shortening of T2* effects caused by faint hemorrhage .On dynamic enhanced MRI, the lesion showed gradually mild enhancement from the arterial to the venous phase with some necrotic area. By the CT-guided biopsy, the diagnosis of leiomyosarcoma with faint hemorrhage was made on immunohistochemical stain.
Pages: 80-86 | Views: 208 | Downloads: 208
How to cite this article:
Nobukata Kazawa, Yoriko Yamashita. Primary hepatic leiomyosarcoma (PHLS): A case report and literature review. Int J Radiol Diagn Imaging 2020;3(4):80-86. DOI: 10.33545/26644436.2020.v3.i4b.140
International Journal of Radiology and Diagnostic Imaging