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J Visc Surg. 2014 Sep;151(4):319-21. doi: 10.1016/j.jviscsurg.2014.05.008. Epub 2014 Jun 25.

Focal fatty infiltration in Segment IV of the liver mimicking peritoneal carcinomatosis on CT and MR imaging.

Author information

1
Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Service de radiologie viscérale et vasculaire, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France; Université Paris-Diderot, Sorbonne Paris Cité, 10, rue de Verdun, 75010 Paris, France; UMR INSERM 965, Carcinose Angiogenèse et Recherche Translationnelle (CART), Hôpital Lariboisière, 2, rue Amboise-Paré, 75010 Paris, France. Electronic address: anthony.dohan@lrb.aphp.fr.
2
Université Paris-Diderot, Sorbonne Paris Cité, 10, rue de Verdun, 75010 Paris, France; UMR INSERM 965, Carcinose Angiogenèse et Recherche Translationnelle (CART), Hôpital Lariboisière, 2, rue Amboise-Paré, 75010 Paris, France; Assistance Publique-Hôpitaux de Paris, hôpital Lariboisière, service de chirurgie digestive et cancérologique, 2, rue Ambroise-Paré, 75010 Paris, France.
3
Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Service de radiologie viscérale et vasculaire, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France; Université Paris-Diderot, Sorbonne Paris Cité, 10, rue de Verdun, 75010 Paris, France; UMR INSERM 965, Carcinose Angiogenèse et Recherche Translationnelle (CART), Hôpital Lariboisière, 2, rue Amboise-Paré, 75010 Paris, France.

Abstract

Focal hepatic steatosis occurs often. If mistaken for liver metastasis, it can occasionally result in a decision against resection because of suspicion of locally advanced disease. Magnetic resonance imaging (MRI) often leads to the correct preoperative diagnosis, but if any doubt persists, surgery should not be precluded, even if the disease appears to be widespread, particularly since the classical age limitations for large magnitude operations have been steadily rolled back. The following 69-year-old patient, with peritoneal carcinomatosis from an appendiceal cancer and an atypical image in the liver corresponding to focal Segment IV steatosis, illustrates our message.

KEYWORDS:

Cytoreductive surgery; Focal hepatic steatosis; HIPEC; Hepatic pseudo-lesions; Liver metastasis; MRI; Peritoneal carcinomatosis

PMID:
24973944
DOI:
10.1016/j.jviscsurg.2014.05.008
[Indexed for MEDLINE]

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