An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI

• Verfasst von: Do, Thuy [VerfasserIn]
• Verfasst von: Neurohr, Claus [VerfasserIn]
• Verfasst von: Michl, Marlies [VerfasserIn]
• Verfasst von: Reiser, Maximilian F [VerfasserIn]
• Verfasst von: Zech, Christoph Johannes [VerfasserIn]
• Titel: An unusual case of primary hepatic lymphoma mimicking sarcoidosis in MRI
• Verf.angabe: Thuy D Do, Claus Neurohr, Marlies Michl, Maximilian F Reiser and Christoph J Zech
• E-Jahr: 2014
• Jahr: May 12, 2014
• Umfang: 4 S.
• Teil: volume:3
• Teil: year:2014
• Teil: number:4
• Teil: pages:1-4
• Teil: extent:4
• Fussnoten: Gesehen am 11.02.2021
• Titel Quelle: Enthalten in: Acta radiologica / Short reports
• Ort Quelle: London : Sage Publishing, 2012
• Jahr Quelle: 2014
• Band/Heft Quelle: 3(2014), 4, Seite 1-4
• ISSN Quelle: 2047-9816
• DOI: doi:10.1177/2047981613493625
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Hepatic MRI
• Sach-SW: primary hepatic lymphoma
• Sach-SW: sarcoidosis
• K10plus-PPN: 1748129406

Abstract

Sarcoidosis is a granulomatous disease, in which liver affection is common, contrary to a primary hepatic lymphoma that is very rarely seen. On MRI both present with almost the same imaging features: hypointense in T1-weighted and hyperintense in T2-weighted sequences. Our patient with a histologically confirmed sarcoidosis in the lungs showed liver lesions that were similar to sarcoidosis manifestations of the liver. Due to size, progression and overlapping features with secondary malignant liver lesions within an interval of 5 months, a biopsy was conducted and confirmed a primary hepatic lymphoma with diffuse large b-cells. Thus, we would recommend performing a biopsy in ambiguous lesions with indistinguishable characteristics and progression within a short follow-up interval.