Review article

Target-lesions of the liver on the ultrasound scan

Dinko Nizić ; KBC Zagreb, Klinički zavod za dijagnostičku i intervencijsku radiologiju Medicinskog fakulteta Sveučilišta u Zagrebu
Marijana Pervan ; KBC Zagreb, Klinički zavod za dijagnostičku i intervencijsku radiologiju Medicinskog fakulteta Sveučilišta u Zagrebu
Marko Šimunović ; KBC Zagreb, Klinički zavod za dijagnostičku i intervencijsku radiologiju Medicinskog fakulteta Sveučilišta u Zagrebu
Marko Ćaćić ; KBC Zagreb
Božidar Kovačević ; Opća bolnica "Dr. Josip Benčević", Odjel za očne bolesti

Abstract

Given the numerous advantages over other imaging methods, ultrasound scanning is today’s most common diagnostic procedure. In ultrasound monitoring of oncologic patients sometimes avascular or
hypovascular target-lesions of the liver parenchyma with hypoechoic border ("halo"), and, more or less, hyperechoic center are found. In the differential diagnosis of the solitary target-lesions of the liver one must usually think of hemangioma and pseudolesion (pseudotumor), particularly if located in the IV segment of the left lobe in the diffuse hepatosteatosis. Multifocal target-lesions of the liver are mostly of secondary etiology, due to various neoplastic processes, namely bronchogenic and colorectal carcinoma. Further imaging is certainly recommended, above all computed tomography (CT) with the application of contrast agent according to the multiphase protocol, and, sometimes, magnetic resonance (MR), as well as, eventually, liver biopsy in case of an unknown location of the primary tumor or the coexistence of a number of different neoplasms.

Keywords

ultrasound examination of the liver; target-lesions of the liver; inverse target-lesions of the liver; hemangioma, hepatocellular carcinoma (HCC)

Hrčak ID:

122384

URI

https://hrcak.srce.hr/122384

Publication date:

2.6.2014.

Article data in other languages: croatian

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