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 carcinoma.

Original languageEnglish
Pages (from-to)308-310
Number of pages3
JournalJBR-BTR
Volume96
Issue number5
Publication statusPublished - 2013

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Perivascular Epithelioid Cell Neoplasms
Liver
alpha-Fetoproteins
Hepatitis
Alcoholic Liver Cirrhosis
Diagnostic Errors
Hepatocellular Carcinoma
Neoplasms
Angiography
Biopsy

Keywords

  • Angiography
  • Liver neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

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title = "Contrast-enhanced CT and angiographic findings in hepatic perivascular epithelioid cell tumor",
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 carcinoma.",
keywords = "Angiography, Liver neoplasms",
author = "Tay, {S. Y.} and Lao, {Wilson T.} and Chen, {Ch L.} and Chan, {Wing P.}",
year = "2013",
language = "English",
volume = "96",
pages = "308--310",
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T1 - Contrast-enhanced CT and angiographic findings in hepatic perivascular epithelioid cell tumor

AU - Tay, S. Y.

AU - Lao, Wilson T.

AU - Chen, Ch L.

AU - Chan, Wing P.

PY - 2013

Y1 - 2013

N2 - 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 carcinoma.

AB - 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 carcinoma.

KW - Angiography

KW - Liver neoplasms

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