Primary Hepatic Neoplasms of Vascular Origin: Key Imaging Features and Differential Diagnoses With Radiology-Pathology Correlation

AJR Am J Roentgenol. 2017 Dec;209(6):W350-W359. doi: 10.2214/AJR.17.18100. Epub 2017 Oct 12.

Abstract

Objective: This article describes, illustrates, and correlates imaging and pathologic features of primary vascular mesenchymal neoplasms of the liver, which arise from the vascular endothelium and perivascular epithelioid cells.

Conclusion: Familiarity with the spectrum of benign, malignant-potential and malignant vascular neoplasms, and nonneoplastic mimickers allows consideration in the differential diagnosis of enhancing hepatic masses. Understanding relevant pathologic features facilitates recognition of key imaging features, specifically dynamic contrast enhancement patterns on CT and MRI, which provide a useful classification system.

Keywords: angiosarcoma; hemangioendothelimona; liver; vascular neoplasm.

Publication types

  • Review

MeSH terms

  • Contrast Media
  • Diagnosis, Differential
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / pathology*
  • Magnetic Resonance Imaging*
  • Tomography, X-Ray Computed*

Substances

  • Contrast Media