PRIMARY DEDIFFERENTIATED LIPOSARCOMA OF THE LIVER: FIRST CASE REPORT IN RUSSIAN LITERATURE. IMAGING FINDINGS ON MRI WITH GADOXETIC ACID
https://doi.org/10.22328/2079-5343-2016-3-78-86
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Abstract
Primary liver liposarcoma is an extremely rare disease, only thirteeen cases have been previously reported. We present the clinical case of primary liver liposarcoma and the first use of hepatospecific contrast media - (gadoxetic acid) for its diagnosis. A 69-year-old male patient came with complaints of abdomenal pain and fever. MR images showed a lobulated mass in both liver lobes, with high signal intencity on T2WI and local regions of signal loss on fat-saturated images (FatSat). The tumor restricted diffusion on DWI and ADC-maps and showed homogenous enhancement of the nodules and thick septa on dynamic phase images with slow wash-out on hepatobiliary phase images. The resected material appeared as red-yellow, soft - elastic disintegrating tumor with foci of necrosis. Histologycal and immunohistochemical analysis showed a dedifferentiated liposarcoma.
Keywords
About the Authors
E. L. Belousova
A. V Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
M. V. Feldsherov
Medical diagnostic center Ramsay diagnostics
Russian Federation
Russian Federation
G. G. Karmazanovsky
A. V Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
A. L. Pyljev
Center for the innovational medical technologies
Russian Federation
Russian Federation
R. I. Absalyamov
Center for the innovational medical technologies
Russian Federation
Russian Federation
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For citations:
Belousova E.L., Feldsherov M.V., Karmazanovsky G.G., Pyljev A.L., Absalyamov R.I. PRIMARY DEDIFFERENTIATED LIPOSARCOMA OF THE LIVER: FIRST CASE REPORT IN RUSSIAN LITERATURE. IMAGING FINDINGS ON MRI WITH GADOXETIC ACID. Diagnostic radiology and radiotherapy. 2016;(3):78-86. (In Russ.) https://doi.org/10.22328/2079-5343-2016-3-78-86
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