Imaging features of rare mesenychmal liver tumours: beyond haemangiomas.

Rajesh Thampy, The University of Texas MD Anderson Cancer Center
Khaled M. Elsayes, The University of Texas MD Anderson Cancer Center
Christine O. Menias, Mayo Clinic
Perry J. Pickhardt, University of Wisconsin-Madison
Hyunseon C. Kang, The University of Texas MD Anderson Cancer Center
Sandeep P. Deshmukh, Thomas Jefferson University
Kareem Ahmed, Thomas Jefferson University
Brinda Rao Korivi, The University of Texas MD Anderson Cancer Center

Document Type Article

This article has been peer reviewed. It is the author’s final published version in The British journal of radiology

Volume 90, Issue 1079, November 2017, Page 20170373.

The published version is available at DOI: 10.1259/bjr.20170373. Copyright © Thampy et al.


Tumours arising from mesenchymal tissue components such as vascular, fibrous and adipose tissue can manifest in the liver. Although histopathology is often necessary for definitive diagnosis, many of these lesions exhibit characteristic imaging features. The radiologist plays an important role in suggesting the diagnosis, which can direct appropriate immunohistochemical staining at histology. The aim of this review is to present clinical and imaging findings of a spectrum of mesenchymal liver tumours such as haemangioma, epithelioid haemangioendothelioma, lipoma, PEComa, angiosarcoma, inflammatory myofibroblastic tumour, solitary fibrous tumour, leiomyoma, leiomyosarcoma, Kaposi sarcoma, mesenchymal hamartoma, undifferentiated embryonal sarcoma, rhabdomyosarcoma and hepatic metastases. Knowledge of the characteristic features of these tumours will aid in guiding the radiologic diagnosis and appropriate patient management.