Primary clear cell carcinoma in the liver： CT and MRI findings

AIM： To retrospectively analyze the computed tomography （CT） and magnetic resonance imaging （MRI） appearances of primary clear cell carcinoma of the liver （PCCCL） and compare the imaging appearances of PCCCL and common type hepatocellular carcinoma （CHCC） to determine whether any differences exist b...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2011-02, Vol.17 (7), p.946-952
Main Authors: Liu, Qing-Yu, Li, Hai-Gang, Gao, Ming, Lin, Xiao-Feng, Li, Yong, Chen, Jian-Yu
Format: Article
Language:English
Subjects:
Adenocarcinoma, Clear Cell - diagnostic imaging
Adenocarcinoma, Clear Cell - pathology
Adult
Aged
Aged, 80 and over
Brief
Carcinoma, Hepatocellular - diagnostic imaging
Carcinoma, Hepatocellular - pathology
Diagnosis, Differential
Female
Humans
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Magnetic Resonance Imaging
Male
Middle Aged
MRI图像
Retrospective Studies
Tomography, X-Ray Computed
对比度增强
磁共振成像
细胞
肝癌
肝脏肿瘤
计算机断层扫描
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Summary:AIM： To retrospectively analyze the computed tomography （CT） and magnetic resonance imaging （MRI） appearances of primary clear cell carcinoma of the liver （PCCCL） and compare the imaging appearances of PCCCL and common type hepatocellular carcinoma （CHCC） to determine whether any differences exist between the two groups. METHODS： Twenty cases with pathologically proven PCCCL and 127 cases with CHCC in the Second Affiliated Hospital of Sun Yat-sen University were included in this study. CT or MRI images from these patients were retrospectively analyzed. The following imaging findings were reviewed： the presence of liver cirrhosis, tumor size, the enhancement pattern on dynamic contrast scanning, the presence of pseudo capsules, tumor rupture, portal vein thrombosis and lymph node metastasis. RESULTS： Both PCCCL and CHCC were prone to occur in patients with liver cirrhosis, the association rate of liver cirrhosis was 80.0% and 78.7%, respectively （P 0.05）. The mean sizes of PCCCL and CHCC tumors were （7.28 ± 4.25） cm and （6.96 ± 3.98） cm, respectively. Small HCCs were found in 25.0% （5/20） of PCCCL and 19.7% （25/127） of CHCC cases. No significant differences in mean size and ratio of small HCCs were found between the two groups （P = 0.658 and 0.803, respectively）. Compared with CHCC patients, PCCCL patients were more prone to form pseudo capsules （49.6% vs 75.0%, P = 0.034）. Tumor rupture, typical HCC enhancement patterns and portal vein tumor thrombosis were detected in 15.0% （3/20）, 72.2% （13/18） and 20.0% （4/20） of patients with PCCCL and 3.1% （4/127）, 83.6% （97/116） and 17.3% （22/127） of patients with CHCC, respectively. There were no significant differences between the two groups （all P 0.05）. No patients with PCCCL and 2.4% （3/127） of patients with CHCC showed signs of lymph node metastasis （P 0.05）. CONCLUSION： The imaging characteristics of PCCCL are similar to those of CHCC and could be useful for differentiating these from other liver tumors （such as hemangioma and hepatic metastases）. PCCCLs are more prone than CHCCs to form pseudo capsules.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v17.i7.946