Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs
This study describes the multimodal imaging characteristics of pedunculated liver masses in seven dogs [Cocker Spaniel (n = 2), Maltese (n = 1), Shih-Tzu (n = 2), and Schnauzer (n = 2)]. These masses are anatomic variants of hepatic masses in which the center of the mass lies outside the liver conto...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Veterinary Science |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2020.581922/full |
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| author | Jaeeun Ko Jeongyeon Hwang Hakyoung Yoon Kidong Eom Jaehwan Kim |
| author_facet | Jaeeun Ko Jeongyeon Hwang Hakyoung Yoon Kidong Eom Jaehwan Kim |
| author_sort | Jaeeun Ko |
| collection | DOAJ |
| description | This study describes the multimodal imaging characteristics of pedunculated liver masses in seven dogs [Cocker Spaniel (n = 2), Maltese (n = 1), Shih-Tzu (n = 2), and Schnauzer (n = 2)]. These masses are anatomic variants of hepatic masses in which the center of the mass lies outside the liver contour. Prior to referral, only one dog had been diagnosed with a hepatic mass, four had been diagnosed with mid-abdominal masses of unknown origin, and two had been misdiagnosed with splenic head and pancreatic masses. Using radiographs, the mass locations were classified as cranioventral (n = 3), mid-abdominal (n = 2), or craniodorsal (n = 2). The gastric axis was deviated in various directions in four cases. Based on computed tomography (CT) findings, the masses were noted to originate from every liver lobe (two from the left lateral lobe) and to possess parenchymal (n = 6) or vascular (n = 1) pedicles. The histopathological results showed that three masses were benign [hepatic adenoma (n = 1) and nodular hyperplasia (n = 2)] and four were malignant [hepatocellular carcinoma (n = 3) and cholangiocarcinoma (n = 1)]. For three dogs, triple-phase CT maximum intensity projection images in the arterial phase clearly showed that the masses were connected to the hepatic artery. We propose that a pedunculated liver mass should be considered as a differential diagnosis when a mass is located in the mid-abdomen, even if it is separated from the liver and with the gastric axis deviated in various directions. We consider CT imaging to be a useful tool for diagnosis, evaluation, and surgical planning in dogs with a pedunculated liver mass. |
| first_indexed | 2024-12-13T15:57:30Z |
| format | Article |
| id | doaj.art-23fce353eb404900b70388aeca64bcc8 |
| institution | Directory Open Access Journal |
| issn | 2297-1769 |
| language | English |
| last_indexed | 2024-12-13T15:57:30Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj.art-23fce353eb404900b70388aeca64bcc82022-12-21T23:39:17ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-11-01710.3389/fvets.2020.581922581922Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven DogsJaeeun Ko0Jeongyeon Hwang1Hakyoung Yoon2Kidong Eom3Jaehwan Kim4Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Jeonbuk National University, Jeonju, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaThis study describes the multimodal imaging characteristics of pedunculated liver masses in seven dogs [Cocker Spaniel (n = 2), Maltese (n = 1), Shih-Tzu (n = 2), and Schnauzer (n = 2)]. These masses are anatomic variants of hepatic masses in which the center of the mass lies outside the liver contour. Prior to referral, only one dog had been diagnosed with a hepatic mass, four had been diagnosed with mid-abdominal masses of unknown origin, and two had been misdiagnosed with splenic head and pancreatic masses. Using radiographs, the mass locations were classified as cranioventral (n = 3), mid-abdominal (n = 2), or craniodorsal (n = 2). The gastric axis was deviated in various directions in four cases. Based on computed tomography (CT) findings, the masses were noted to originate from every liver lobe (two from the left lateral lobe) and to possess parenchymal (n = 6) or vascular (n = 1) pedicles. The histopathological results showed that three masses were benign [hepatic adenoma (n = 1) and nodular hyperplasia (n = 2)] and four were malignant [hepatocellular carcinoma (n = 3) and cholangiocarcinoma (n = 1)]. For three dogs, triple-phase CT maximum intensity projection images in the arterial phase clearly showed that the masses were connected to the hepatic artery. We propose that a pedunculated liver mass should be considered as a differential diagnosis when a mass is located in the mid-abdomen, even if it is separated from the liver and with the gastric axis deviated in various directions. We consider CT imaging to be a useful tool for diagnosis, evaluation, and surgical planning in dogs with a pedunculated liver mass.https://www.frontiersin.org/articles/10.3389/fvets.2020.581922/fullaccessory livercomputed tomographyultrasonographydogpediclepedunculated liver mass |
| spellingShingle | Jaeeun Ko Jeongyeon Hwang Hakyoung Yoon Kidong Eom Jaehwan Kim Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs Frontiers in Veterinary Science accessory liver computed tomography ultrasonography dog pedicle pedunculated liver mass |
| title | Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs |
| title_full | Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs |
| title_fullStr | Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs |
| title_full_unstemmed | Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs |
| title_short | Case Report: Multimodal Imaging Features of Pedunculated Liver Masses in Seven Dogs |
| title_sort | case report multimodal imaging features of pedunculated liver masses in seven dogs |
| topic | accessory liver computed tomography ultrasonography dog pedicle pedunculated liver mass |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2020.581922/full |
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