Central scars in primary liver tumors: MR features, specificity, and pathologic correlation

Radiology. 1989 May;171(2):323-6. doi: 10.1148/radiology.171.2.2539605.

Abstract

Tumor scars were identified at pathologic study and magnetic resonance (MR) imaging in ten of 17 (59%) primary liver tumors (nine hepatocellular carcinomas, four giant hemangiomas, two hepatic adenomas, and two cases of focal nodular hyperplasia). Histopathologic examination revealed three types of scar tissue. Inflammatory scars (n = 4), with edema, necrosis, hypercellularity, and loose fibrous tissue, appeared hypointense relative to liver on T1-weighted images and hyperintense on T2-weighted images. Vascular scars (n = 3), predominantly composed of vascular channels traversing collagenous tissue, showed MR features similar to those of inflammatory scars. Collagenous scars (n = 3) appeared hypointense relative to liver on both T1-weighted and T2-weighted images. Central tumor scars are a frequent but nonspecific feature of both benign and malignant primary liver tumors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Carcinoma, Hepatocellular / diagnosis*
  • Cicatrix / pathology
  • Female
  • Hemangioma / diagnosis*
  • Humans
  • Liver / pathology*
  • Liver Neoplasms / diagnosis*
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Retrospective Studies