c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Hepatic Adenoma: 1

A D V E R T I S E M E N T

   
 

A 62-year-old woman was incidentally noted to have a subtle low attenuation lesion in the periphery of the right lobe of the liver on a CT scan done for other reasons. The enhanced image shows the lesion more clearly. She had a history of oral hormone therapy. CT guided fine needle aspiration of the lesion was non-specific, with no malignant cells identified. The patient was taken to the operating room for elective resection of the lesion with a presumed diagnosis of hepatic adenoma. The indication for surgery was both diagnostic to rule out malignancy and prophylactic to eliminate the possibility of rupture and hemorrhage.     

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Hepatic Adenoma: 2

A D V E R T I S E M E N T

   
 

An out-of-phase T1 weighted MRI image helps pick up the lesion, since the lesion contains fat, and the water and fat cancel each other out in the out-of--phase image.       

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Hepatic Adenoma: 3

A D V E R T I S E M E N T

   
 

The patient underwent a non-anatomic resection of the lesion (see right hepatectomy). The cut surface of the lesion is shown.       

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This page was last modified on 3/11/2003.