Lesiones focales hepaticas malignas
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Transcript of Lesiones focales hepaticas malignas
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DD LESIONES FOCALES HEPÁTICAS MALIGNAS
Correlación ecográfica -TC
Dra. Nadia RojasBecada I año Radiología
Universidad de Valparaíso
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1.2. NEOPLASIAS HEPÁTICAS MALIGNAS
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A. CHC
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A. CHC
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A. CHCSIN CONTRASTESIN CONTRASTE FASE ARTERIALFASE ARTERIAL FASE VENOSAFASE VENOSA
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CHC encapsulado
A. CHCFASE ARTERIALFASE ARTERIAL FASE VENOSAFASE VENOSA
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The Liver Data System (LI-RADS) is endorsed by the ACR for categorization of focal nodular lesions found on CT or MR in the cirrhotic liver. It is designed to standardize the interpreting and reporting of findings so that these are more uniform, accurate, and useful to referring physicians. Imaging Reporting and
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A. CHC
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A. CFLSIN CONTRASTESIN CONTRASTE FASE ARTERIALFASE ARTERIAL FASE VENOSAFASE VENOSA
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B. ENFERMEDAD HEPÁTICA MTT
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B.ENFERMEDAD HEPATICA MTT
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MTT COLON
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LESIONES TARJET
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MTT HIPERVASCULAR TU PÁNCREAS
SIN CONTRASTESIN CONTRASTE FASE ARTERIALFASE ARTERIAL FASE VENOSAFASE VENOSA
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MTT NECRÓTICAS
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B.DD MTT HEPÁTICASEcogénicas Hipoecogéni
casOjos de toro Calcificadas Quísticas Infiltrativas
TGI Carcinoma de mama
Ca pulmón Adenoca mucinoso
Necrosis: sarcomas
Ca de mama
CHC Pulmón Sarcoma osteogénico
Cistoadenoca de ovario
Ca de pulmón
Vascular primario
linfoma Cistoadenoca pancreas
Melanoma maligno.
Carcinoma de células del islote
Esofago, estómago y páncreas
Carcinoma mucinoso de colon
Carinoide
coriocarcinoma
CCR
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B. MTT
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COLANGIOCARCINOMA INTRAHEPÁTICO
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COLANGIOCARCINOMA INTRAHEPÁTICO
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CISTOADENOMA/CARCINOMA BILIAR
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Masa hepática con densidad de agua con múltiples septos
CISTOADENOMA/CARCINOMA BILIAR
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ANGIOSARCOMA
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• TC sin contraste: una o varias masas hipodensas, nódulos hiperdensos por hemorragia reciente.
• TC con contraste: Patrón de realce centrípeto similar al hemangioma.
ANGIOSARCOMA
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HEMANGIOENDOTELIOMA EPITELIOIDE
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SARCOMAS MESENQUIMATOSOS• Muy raros:
– Angiosarcoma.– Leiomiosarcoma.– Fibrosarcoma– Histiocitoma fibroso maligno– Rabdomiosarcoma
• Grandes masas únicas lobuladas con tabiques fibrosos y necrosis –hemorragia central.
• TC: – Sin contraste: masas grandes,
no calcificadas, atenuación baja y homogénea.
– Con contraste: realce periférico no homogéneo.
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HEPATOBLASTOMA
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SARCOMA EMBRIONARIO INDIFERENCIADO
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LINFOMA