A Case of Hyperintense Liver Metastases of Breast Cancer in the Hepatobiliary Phase on Gadoxetic Acid-Enhanced Magnetic Resonance Imaging.
Breast cancer
Gadoxetic acid-enhanced MRI
Hyperintense liver metastasis
Lymphatic liver metastasis
Journal
Case reports in oncology
ISSN: 1662-6575
Titre abrégé: Case Rep Oncol
Pays: Switzerland
ID NLM: 101517601
Informations de publication
Date de publication:
Historique:
received:
26
05
2020
accepted:
27
05
2020
entrez:
1
10
2020
pubmed:
2
10
2020
medline:
2
10
2020
Statut:
epublish
Résumé
A 64-year-old woman complaining of left arm and breast edema was referred to our hospital. Mammography and ultrasound could not initially show any masses, but magnetic resonance imaging (MRI) showed ill-defined small masses in her left breast. Histological examination showed the tumor to be triple-negative breast cancer. After neoadjuvant chemotherapy, the patient underwent operation. Postoperative histological examination showed massive cancer remnants in the lymph nodes and lymphatics. Enhanced CT taken at the onset of abdominal pain showed multiple liver masses with ring enhancement 17 months after the operation. Gadoxetic acid-enhanced MRI showed hyperintense masses and presumed broad cancer cell permeation to the liver in the hepatobiliary phase. Due to the histologically proven high lymphatic permeability, metastatic sites, and gadoxetic acid-enhanced MRI findings, we judged the liver metastases as lymphatic liver metastases. Due to the marked liver dysfunction at the onset of abdominal pain, the patient received best supportive care and died in 4 months.
Identifiants
pubmed: 32999658
doi: 10.1159/000508995
pii: cro-0013-0973
pmc: PMC7506376
doi:
Types de publication
Case Reports
Langues
eng
Pagination
973-978Informations de copyright
Copyright © 2020 by S. Karger AG, Basel.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to declare.
Références
J Natl Cancer Inst. 1986 Aug;77(2):317-20
pubmed: 3461193
Lancet Oncol. 2017 Apr;18(4):e228-e232
pubmed: 28368261
Radiology. 1992 Apr;183(1):59-64
pubmed: 1549695
Lancet. 2002 Mar 16;359(9310):909-19
pubmed: 11918907
J Clin Oncol. 2011 Apr 1;29(10):1252-60
pubmed: 21383283
J Magn Reson Imaging. 2017 Jan;45(1):281-290
pubmed: 27299482
J Hepatobiliary Pancreat Sci. 2010 Sep;17(5):583-9
pubmed: 19809781
N Engl J Med. 2017 Jun 1;376(22):2147-2159
pubmed: 28564564
J Hepatol. 2017 Sep;67(3):526-534
pubmed: 28483680
Breast Cancer Res Treat. 2018 Jan;167(1):81-87
pubmed: 28895005