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KMID : 0858520150190010047
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Journal of the Korean Society of Magnetic Resonance in Medicine
2015 Volume.19 No. 1 p.47 ~ p.51
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Image Findings of Sarcomatous Intrahepatic Cholangiocarcinoma Focused on Gd-EOB-DTPA Enhanced MRI: A Case Report
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Kim Ki-Beom
Kim Seong-Hoon
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Abstract
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Sarcomatous Intrahepatic cholangiocarcinoma is a rare but an aggressive variant of cholangiocarcinoma with a very poor prognosis. A 79-year-old man was admitted to our hospital because of incidentally found liver mass. Magnetic resonance imaging (MRI) revealed well-defined hypointense mass on T1WI and heterogeneous hyperintense mass on T2WI. Gd-EOB-DTPA enhanced study shows peripheral rim-like enhancement in arterial phase and progressive concentric filling of contrast in delayed phase. And mass shows significant enhancement in hepatobiliary phase. The pathologic diagnosis was intrahepatic cholangiocarcinoma with sarcomatous change.
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KEYWORD
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Sarcomatous intrahepatic cholangiocarcinoma, Sarcomatous transformation, Cholangiocarcinoma, Computed tomography, Magnetic resonance imaging, Hepatobiliary phase
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