Radiologically identifiable intratumoral portal vein in intrahepatic cholangiomas: A diagnostic pitfall

K. Kaneko, H. Honda, K. Kajiyama, Y. Yokomizo, N. Hashiguchi, T. Fukuya, Y. Tateshi, T. Ro, K. Masuda

    Research output: Contribution to journalArticle

    11 Citations (Scopus)

    Abstract

    Background: Although intratumoral patent portal vein (ITPV) is one of the characteristic features of benign hepatic lesions, ITPVs can be demonstrated in malignant tumors. We present the spectrum of MR and CT findings of ITPV identified in intrahepatic cholangiomas with pathological correlations. Methods: The ultrasound, CT and/or MRI findings of pathologically-confirmed intrahepatic cholangiomas were reviewed and correlated with surgical specimen or autopsy findings. Results: Intratumoral patent vessels were radiographically-demonstrated in 5 patients with intrahepatic cholangiomas. All intratumoral vessels were secondary or tertiary order portal vein branches. Some wall thickening was identified on pathological examinations. Conclusion: The radiological demonstration of intratumoral portal vein is not a specific sign of benignity. In the case of a hepatic tumor with a patent portal tract, cholangioma should be considered, as well as benign tumors or lymphoma.

    Original languageEnglish
    Pages (from-to)445-447
    Number of pages3
    JournalAbdominal imaging
    Volume21
    Issue number5
    DOIs
    Publication statusPublished - Oct 10 1996

    All Science Journal Classification (ASJC) codes

    • Radiological and Ultrasound Technology
    • Radiology Nuclear Medicine and imaging
    • Gastroenterology
    • Urology

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