fetthaltige Leberläsionen
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/4/6/9/1/2/Fetthaltiges_HCC_68jm_-_CT_nativ_arteriell_portalvenoes_thumb.jpg)
Fetthaltiges
hepatozelluläres Karzinom in der Computertomographie: nativ, arterielle und portalvenöse Kontrastmittelphase. Histologisch bestätigt.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/6/1/3/5/aec9357a28f908a41a979a733284d4_big_gallery_thumb.jpg)
Hepatic
angiomyolipoma • Hepatic angiomyolipoma - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/6/1/5/2/3668259b9776a8e4c04917f6d9170a_big_gallery_thumb.jpg)
Hepatic
steatosis • Focal hepatic steatosis - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/9/3/3/5/6a3639928d3d70dae909000259a502_big_gallery_thumb.jpg)
Hepatocellular
carcinoma • Hepatocellular carcinoma containing microscopic (intracytoplasmic) fat - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/6/1/3/8/9349ab9cafa35453ca0345b4266e7c_big_gallery_thumb.jpg)
Hepatic
lipoma • Hepatic lipoma - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/6/1/3/4/b2e4f444f67f7eac3aedd59de93a69_big_gallery_thumb.jpg)
Hyperechoic
liver lesions • Steatohepatitic hepatocellular carcinoma (SH-HCC) - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/3/0/9/9/0cbaab08d9ad939c00638937f2b672_big_gallery_thumb.jpg)
Hepatic
adenoma • Hepatic adenoma - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/3/0/9/3/76cb4874232da1e23b4ca7f6edc54d_big_gallery_thumb.jpg)
Focal nodular
hyperplasia • Focal nodular hyperplasia - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/7/5/9/8/c2e4daf6aed3d0567be75cc71a5ed6_big_gallery_thumb.jpg)
Fat
containing liver lesions • Pseudolipoma of the Glisson capsule - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/6/1/4/1/5f9cacd574112520e618f8a085ae885b4ffd9750911c3856d64a2aac62fb91ed_big_gallery_thumb.jpg)
Hepatic
lipoma • Hepatic lipoma - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/4/9/6/7/0/Leberlipom_74M_-_CT_axial_KM_pv_-_001_thumb.jpg)
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/1/9/5/6/6/Fetthaltiges_HCC_81M_-_CT_und_MRT_-_001_thumb.jpg)
Hepatozelluläres
Karzinom teils vom sog. steatohepatischem Typ mit fokaler sarkomatoider Dedifferenzierung im rechten Leberlappen. Oben: CT arteriell, portalvenös, MR T1 In Phase / Opposed Phase. Unten: T2-SPAIR, T1 Kontrastmitteldynamik früh, 3 min, Spätphase 20 min.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/3/1/0/0/dc814e8ac47b7e0269b40047a83c54_big_gallery_thumb.jpg)
Hepatic
adenoma • Hepatic adenoma - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/9/4/7/2/12957_2006_Article_213_Fig1_HTML_thumb.jpg)
Giant hepatic
adenoma with bone marrow metaplasia not associated with oral contraceptive intake. Contrast-enhanced CT scan. A: adenoma; Cy: cyst; C: calcifications within the cystic lesion (arterial phase);.
Fat containing liver lesions represent a variety of benign and malignant liver lesions may contain macroscopic and/or intracytoplasmic fat in sufficient quantities enabling characterization on imaging studies. Most fat-containing liver lesions (80%) in patients with cirrhosis are malignant, most of which are hepatocellular carcinoma .
Differential diagnosis
Benign
- focal fatty change
- hepatic angiomyolipoma
- focal nodular hyperplasia
- hepatic lipoma
- pseudolipoma of the Glisson capsule
- xanthomatous lesion of Langerhans cell histiocytosis (LCH)
- hepatic adenoma
- hepatic teratoma
- hepatic adrenal rest tumor: can rarely have malignant transformation
- post-operative: pack using omental tissue
- tamoxifen-induced reversible steatosis
- hepatic myelolipoma
Malignant
- hepatocellular carcinoma
- primary or secondary liposarcoma
See also
Siehe auch:
- Steatosis hepatis
- Leberzirrhose
- Leberadenom
- echoreiche Leberherde
- Fokale noduläre Hyperplasie
- lipomatöse Impression der Vena cava inferior
- Angiomyolipom der Leber
- fokale Leberverfettung
- Liposarkom der Leber
- Leberlipom
- fetthaltiges hepatozelluläres Karzinom
- Langerhans' cell histiocytosis of the liver
und weiter:
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