Intrahepatic Arterioportal Shunt:A Mechanism of Hypovascular Hepatocellular Carcinoma.
10.3348/jkrs.1995.33.2.259
- Author:
Jae Chun CHANG
;
Jae Ho CHO
- Publication Type:Original Article
- MeSH:
Angiography;
Carcinoma, Hepatocellular*;
Liver;
Perfusion
- From:Journal of the Korean Radiological Society
1995;33(2):259-264
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To prove whether the arterioportal shunt, especially transvasal shunt is one of the cause of the hypovascular hepatocellular carcinoma. MATERIALS AND METHODS: We evaluated the early phase images of table incremental dynamic CT and hepatic angiography in 20 cases of hepatoceltular carcinomas with transvasal arterioportal shunt. RESULTS: In hepatic arteriography, 18 cases were hypovascular and the remained 2 cases showed hypervascular tumor staining than surrounding normal hepatic parenchyme. In the early phase dynamic CT, 18 cases were hypodense(including 4 cases of focal hyperdensity in hypodense background), one was isodense and remaining one was hyperdense. CONCLUSION: Arterioportal shunt, especially transvasal shunt may make originally hypervasular hepato-cellular carcinoma to hypovascular lesion in the early phase dynamic CT or hepatic arteriography. In attempt to differentiate hepatic masses by tumor vascularity in recently widely used table incremental dynamic CT, the vascular patterns of the mass should be considered by close evaluation of vascular pattern of the liver, such as morphology of perfusion abnormality and arterioportal shunt, etc.
