MR imaging of carcinosarcoma of the liver using Gd-EOB-DTPA

Magn Reson Med Sci. 2014;13(2):117-21. doi: 10.2463/mrms.2013-0011. Epub 2014 Apr 28.

Abstract

We present a case of a 69-year-old man with primary hepatic carcinosarcoma who underwent computed tomography that revealed a hypervascular hepatic tumor with local dense calcification. Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging revealed hyperintense lesions in the hepatobiliary phase that indicated hepatocellular carcinoma with bile production. The patient underwent right lobectomy, and the presence of a sarcoma component within the tumor on histopathology confirmed liver carcinosarcoma that included hepatocellular carcinoma. In cases with atypical images that resemble this case, the hyperintensity of a lesion in the hepatobiliary phase aids differential diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Hepatocellular / pathology
  • Carcinoma, Hepatocellular / surgery
  • Carcinosarcoma / pathology*
  • Carcinosarcoma / surgery*
  • Contrast Media*
  • Diagnosis, Differential
  • Gadolinium DTPA*
  • Hepatectomy
  • Humans
  • Image Enhancement / methods
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Tomography, X-Ray Computed

Substances

  • Contrast Media
  • gadolinium ethoxybenzyl DTPA
  • Gadolinium DTPA