Characteristics of spiral computed tomography imaging of primary hepatic malignant fibrous histiocytoma

VernacularTitle:原发性肝恶性纤维组织细胞瘤的螺旋CT表现
Author: Zhenjie CONG ; Weiwei YIN ; Chenggong DONG
Publication Type:Journal Article
Keywords: Liver neoplasms; Histiocytoma,malignant fibrous; Tomography,spiral computed
From:Chinese Journal of Digestive Surgery 2010;9(1):70-72
CountryChina
Language:Chinese
Abstract: Primary hepatic malignant fibrous histiocytoma(PHMFH)remains extremely rare with less than 60 cases reported in literature.From October 1999 to May 2008,5 patients with PHMFH had been admitted to Yantai Cancer Hospital,Yantai Yuhuangding Hospital and the First Affiliated Hospital of Wenzhou Medical College,and the results of spiral CT were analyzed.Six tumors were detected,and the maximum diameter of the tumors was more than 8.5 cm.CT plain scanning revealed that all tumors were hypodense,4 patients with tumor necrosis and cystic degeneration,and the tumor in 1 patient wag with homogen density.Enhanced CT scanning showed marked enhancement of the solid component of tumor in 4 patients,slight enhancement in 1 patient,and a"fast in and fast out"sign in 5 patients.Hepatic bile ducts and portal vein were not involved.One patient was with portal lymph node metastasis and 1 with ioferior vena cava involvement.The characteristics of spiral CT imaging of PHMFH include tumor necrosis,cystis and invasion,as well as"fast in and fast out"sign,which could help to diagnose,although the ultimate diagnosis depends on histopathological examination.