Gray scale and contrast-enhanced ultrasound imaging of malignant liver tumors of vascular origin.

Abstract:

OBJECTIVES:Malignant vascular tumors of the liver are rare. The aim of this study was to investigate the applicability of gray scale and contrast-enhanced ultrasonography in patients with epithelioid hemangioendothelioma (EHE) of the liver and hepatic angiosarcoma (HA) and to describe the clinical presentation. METHODS:We retrospectively analyzed all patients with epithelioid hemangioendothelioma or hemangiosarcoma of the liver from 1998 to 2011, who underwent ultrasound investigation. We describe the findings in gray scale and contrast-enhanced ultrasound and the clinical course of the disease of seven patients with EHE and five patients with HA. RESULTS:Ultrasound investigation in EHE showed mostly multiple hypoechoic irregular lesions close to the liver capsule and with a halo in some cases. Contrast enhancement revealed inhomogeneously and through all contrast phases vascularized tumors with a rim enhancement in 50%, with or without early wash out. All tumors had avascular parts. HA presented as multiple and irregular hypo-, iso- or hyperechoic lesions. After contrast enhancement, hypervascularization with individual patterns was evident in all patients. Of five, three had liquid parts. Patients with HA were significantly older (58 vs. 37 years, p = 0.014) and presented with lower thrombocyte counts (84 vs. 264, p = 0.0025) and with higher CEA levels (4.6 vs. 1.5, p = 0.03). CONCLUSION:EHE and HA are inhomogeneous tumors, explaining the high inter-individual variability and heterogeneity in ultrasound examination. The presence of multifocal lesions, heterogeneity and undefined margins may differentiate EHE or HA from hemangioma. A biopsy is essential in the diagnosis of vascular tumors.

authors

Schweitzer N,Soudah B,Gebel M,Manns MP,Boozari B

doi

10.1177/2050640614560604

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

63-71

issue

1

eissn

2050-6406

issn

2050-6414

pii

10.1177_2050640614560604

journal_volume

3

pub_type

杂志文章
  • Cognitive impairment in Crohn's disease is associated with systemic inflammation, symptom burden and sleep disturbance.

    abstract:BACKGROUND:Patients with Crohn's disease (CD) frequently complain of cognitive difficulties such as problems with concentration and clouding of thought, yet this has scarcely been objectively defined and underlying mechanisms remain unknown. OBJECTIVE:The objective of this article is to objectively measure cognitive i...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616663397

    authors: van Langenberg DR,Yelland GW,Robinson SR,Gibson PR

    更新日期:2017-06-01 00:00:00

  • Efficacy and safety of infliximab in very early onset inflammatory bowel disease: a national comparative retrospective study.

    abstract:Background:Very few data regarding the use of infliximab in children with very early-onset inflammatory bowel disease (VEO-IBD) have been reported. Objective:We aimed to assess the efficacy and the safety of infliximab in children with VEO-IBD compared with older children. Methods:Children treated with infliximab wer...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640619847592

    authors: Bramuzzo M,Arrigo S,Romano C,Filardi MC,Lionetti P,Agrusti A,Dipasquale V,Paci M,Zuin G,Aloi M,Strisciuglio C,Miele E,Pastore M,Martelossi S,Alvisi P,SIGENP IBD Working Group.

    更新日期:2019-07-01 00:00:00

  • Risk of histologic Barrett's esophagus between African Americans and non-Hispanic whites: A meta-analysis.

    abstract:Background:Barrett's esophagus (BE) is rare in African Americans (AA). However, the risk difference magnitude in histologic BE prevalence between AA and non-Hispanic whites (nHw) has not been quantified to date. Objective:The objective of this article is to determine the degree of histologic BE risk difference between...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617707862

    authors: Alkaddour A,Palacio C,Vega KJ

    更新日期:2018-02-01 00:00:00

  • When to let the fellow do the procedure.

    abstract:Background and aims:In complex endoscopies, the initial attempt is often associated with the highest success and subsequent attempts to achieve the same outcome have a higher failure rate. An attending physician needs to decide how the ultimate success may become compromised by letting a fellow start the procedure. A d...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617696401

    authors: Sonnenberg A

    更新日期:2017-11-01 00:00:00

  • European Society for the Study of Coeliac Disease (ESsCD) guideline for coeliac disease and other gluten-related disorders.

    abstract::This guideline presents recommendations for the management of coeliac disease (CD) and other gluten-related disorders both in adults and children. There has been a substantial increase in the prevalence of CD over the last 50 years and many patients remain undiagnosed. Diagnostic testing, including serology and biopsy...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,实务指引

    doi:10.1177/2050640619844125

    authors: Al-Toma A,Volta U,Auricchio R,Castillejo G,Sanders DS,Cellier C,Mulder CJ,Lundin KEA

    更新日期:2019-06-01 00:00:00

  • Acute abdominal pain in the emergency department of a university hospital in Italy.

    abstract:BACKGROUND:Acute abdominal pain (AAP) is one of the most common causes of referral to an emergency department (ED), but information about its impact is limited. OBJECTIVES:The objectives of this article are to define the prevalence of AAP among ED visits in a large university hospital and analyze its main clinical fea...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615606012

    authors: Caporale N,Morselli-Labate AM,Nardi E,Cogliandro R,Cavazza M,Stanghellini V

    更新日期:2016-04-01 00:00:00

  • Use of complementary and alternative medicine and low quality of life associate with the need for psychological and psychotherapeutic interventions in inflammatory bowel disease.

    abstract:INTRODUCTION:Patients with inflammatory bowel disease suffer from various symptoms, impairing their quality of life and often affecting psychosocial issues. This may lead to the need for additional psychological care. This study investigated patients' subjective need for integrated psychosomatic support and psychothera...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620946874

    authors: Kutschera M,Waldhör T,Gröchenig HP,Haas T,Wenzl H,Steiner P,Koch R,Feichtenschlager T,Eckhardt G,Mayer A,Kirchgatterer A,Ludwiczek O,Platzer R,Papay P,Gartner J,Fuchssteiner H,Peters PG,Reicht G,Moser G,Dejaco C,V

    更新日期:2020-07-28 00:00:00

  • Fecal microbiota transplantation in irritable bowel syndrome: A systematic review and meta-analysis.

    abstract:Background:Modulating gut microbiota is a potential treatment for irritable bowel syndrome (IBS). This meta-analysis explored whether fecal microbiota transplantation (FMT) is successful in treating IBS. Methods:A systematic review was performed to find trials on FMT in IBS. Ratios and relative ratios (RR) of improvem...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,meta分析

    doi:10.1177/2050640619866990

    authors: Myneedu K,Deoker A,Schmulson MJ,Bashashati M

    更新日期:2019-10-01 00:00:00

  • Absence of high-risk stigmata predicts good prognosis even in severely anemic patients with suspected acute upper gastrointestinal bleeding.

    abstract:Background:The need for a blood transfusion, defined as hemoglobin < 70 g/L, is the measure for assessing the risk levels in patients with upper gastrointestinal bleeding (UGIB). However, not all patients with a low hemoglobin level have a poor prognosis. Objective:We assessed the clinical predictive factors associate...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764161

    authors: Horibe M,Ogura Y,Matsuzaki J,Kaneko T,Yokota T,Okawa O,Nakatani Y,Iwasaki E,Nishizawa T,Hosoe N,Masaoka T,Yahagi N,Namiki S,Kanai T

    更新日期:2018-06-01 00:00:00

  • Endoscopic submucosal dissection of gastric superficial neoplastic lesions: a single Western center experience.

    abstract:Background:Endoscopic submucosal dissection (ESD) allows "en bloc" resection of superficial gastric lesions. Objective:The aim of this study is to report "en bloc" resection rate, procedure results, post resection features, analysis of complications, and relapses at mid-long term follow-up on an Italian center case se...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617722901

    authors: Petruzziello L,Campanale M,Spada C,Ricci R,Hassan C,Gullo G,Costamagna G

    更新日期:2018-03-01 00:00:00

  • A multicentre prospective cohort study assessing the effectiveness of budesonide MMX® (Cortiment®MMX®) for active, mild-to-moderate ulcerative colitis.

    abstract:Background:Cortiment®MMX® (budesonide MMX®) is currently approved for the induction of remission in mild-to-moderate ulcerative colitis (UC) patients when 5-ASA treatment is not sufficient. Data in real-life settings are lacking. Methods:This was a multicentre observational prospective cohort study conducted in Europe...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2050640619864848

    authors: Danese S,Hart A,Dignass A,Fiorino G,Louis E,Bonovas S,D'Haens G,Dotan I,Rogler G,Paridaens K,Peyrin-Biroulet L

    更新日期:2019-11-01 00:00:00

  • Pancreas-specific plasma amylase for assessment and diagnosis of chronic pancreatitis: New insights on an old topic.

    abstract:Background:Pancreatic function testing and imaging are used to inform the diagnosis of chronic pancreatitis, but most of these methods are time- and cost-consuming or lack diagnostic accuracy. Objective:We investigated the utility of pancreas-specific plasma amylase for assessment and diagnosis of chronic pancreatitis...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2050640619846011

    authors: Olesen SS,Krarup H,Poulsen JL,Christensen JH,Sheel ARG,Sutton R,Greenhalf W,Halloran C,Drewes AM

    更新日期:2019-08-01 00:00:00

  • Ethanol sclerotherapy or polidocanol sclerotherapy for symptomatic hepatic cysts.

    abstract:Background:Over the past decades, multiple approaches to aspiration sclerotherapy of large symptomatic hepatic cysts have been investigated. However, comparative data are scarce. Objective:The objective of this article is to compare cyst reduction, symptomatic relief, and adverse events between ethanol sclerotherapy a...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764940

    authors: Wijnands TF,Schoenemeier B,Potthoff A,Gevers TJ,Groenewoud H,Gebel MJ,Rifai K,Manns MP,Drenth JP

    更新日期:2018-07-01 00:00:00

  • Clostridium difficile fecal toxin level is associated with disease severity and prognosis.

    abstract:Background:Antibiotic-associated colitis caused by Clostridium difficile (C. difficile) is the most common cause of hospital-acquired diarrhea. The pathogenesis of C. difficile colitis is mediated by bacterial toxins. C. difficile infection (CDI) severity may be determined by the fecal level of these toxins. Objective...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617750809

    authors: Cohen NA,Miller T,Na'aminh W,Hod K,Adler A,Cohen D,Guzner-Gur H,Santo E,Halpern Z,Carmeli Y,Maharshak N

    更新日期:2018-06-01 00:00:00

  • Impact of obesity on disease activity and disease outcome in inflammatory bowel disease: Results from the Swiss inflammatory bowel disease cohort.

    abstract:OBJECTIVE:The purpose of this study was to investigate the impact of obesity on disease activity and disease outcome in patients with inflammatory bowel disease. PATIENTS AND METHODS:The impact of obesity on inflammatory bowel disease disease activity and outcome was retrospectively assessed in 3075 patients enrolled ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620954556

    authors: Greuter T,Porchet F,Braga-Neto MB,Rossel JB,Biedermann L,Schreiner P,Scharl M,Schoepfer AM,Safroneeva E,Straumann A,Rogler G,Vavricka SR

    更新日期:2020-12-01 00:00:00

  • Endoscopic modalities for the diagnosis of Barrett's oesophagus.

    abstract::Barrett's oesophagus is a pre-malignant condition associated with the development of oesophageal adenocarcinoma. Currently white light endoscopy and biopsy is the mainstay diagnostic tool. Yet this approach is troubled by issues related to cumbersome biopsy sampling, biopsy sampling errors and cost. Therefore in order...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640615619281

    authors: Sharma N,Srivastava S,Kern F,Xian W,Ming T,McKeon F,Ho KY

    更新日期:2016-12-01 00:00:00

  • The learning curve for needle knife precut sphincterotomy revisited.

    abstract:Background:There is no consensus on what constitutes adequate training for needle knife precut sphincterotomy. Objective:The purpose of this study was to determine the number of procedures required before effective and safe precut sphincterotomy can be achieved. Methods:This retrospective study examined the cumulativ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617701808

    authors: Li JW,Ang TL,Kam JW,Kwek ABE,Teo EK

    更新日期:2017-12-01 00:00:00

  • Eosinophilic esophagitis: What can we learn from Crohn's disease?

    abstract::Eosinophilic esophagitis (EoE) is an emerging esophageal inflammatory disorder affecting children and young adults. As a relatively new disease, EoE is still burdened by frequent diagnostic and therapeutic pitfalls in clinical practice. This manuscript posits a number of similarities with Crohn's disease, which may he...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640616672953

    authors: Molina-Infante J,Schoepfer AM,Lucendo AJ,Dellon ES

    更新日期:2017-10-01 00:00:00

  • Future research demands of the United European Gastroenterology (UEG) and its member societies.

    abstract:Aims:The purpose of this study was to initiate and stimulate collaborative research efforts to support United European Gastroenterology Federation (UEG) member societies facilitating digestive health research in European on the one hand and, on the other hand, to increase EU-funded digestive health research by providin...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/0142064X19858164

    authors: Enck P,Meisner S,Figueiredo C,Mayerle J,Ricciardiello L,UEG Research Committee.

    更新日期:2019-07-01 00:00:00

  • Clinical and endoscopic findings to assist the early detection of duodenal adenoma and adenocarcinoma.

    abstract:Background:Sporadic nonampullary duodenal adenocarcinoma is a rare malignant neoplasm in which poor prognosis is often associated with delayed diagnosis. Objective:A case-control study was designed to evaluate the clinical and endoscopic characteristics of patients with nonampullary duodenal epithelial tumours (NADETs...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618817689

    authors: Matsuzaki J,Suzuki H,Shimoda M,Mori H,Fukuhara S,Miyoshi S,Masaoka T,Iwao Y,Kanai Y,Kanai T

    更新日期:2019-03-01 00:00:00

  • Training in endoscopic mucosal resection and endoscopic submucosal dissection: Face, content and expert validity of the live porcine model.

    abstract:Introduction:Endoscopic mucosal resection and endoscopic submucosal dissection are demanding procedures. This study aims to establish face, content and expert validity of the live porcine model in performing endoscopic mucosal resection, endoscopic submucosal dissection, complication management and to assess it as a tr...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617742484

    authors: Küttner-Magalhães R,Dinis-Ribeiro M,Bruno MJ,Marcos-Pinto R,Rolanda C,Koch AD

    更新日期:2018-05-01 00:00:00

  • Distinct metaplastic and inflammatory phenotypes in autoimmune and adenocarcinoma-associated chronic atrophic gastritis.

    abstract:BACKGROUND:Autoimmune gastritis (AIG) and adenocarcinoma-associated chronic atrophic gastritis (CAG) are both associated with oxyntic atrophy, but AIG patients demonstrate an increased risk of carcinoid tumors rather than the elevated risk of adenocarcinoma observed with CAG. We therefore sought to compare the characte...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616644142

    authors: Jeong S,Choi E,Petersen CP,Roland JT,Federico A,Ippolito R,D'Armiento FP,Nardone G,Nagano O,Saya H,Romano M,Goldenring JR

    更新日期:2017-02-01 00:00:00

  • The two sides of the coin: Similarities and differences in the pathomechanisms of fistulas and stricture formations in irritable bowel disease.

    abstract::Fistulas and fibrosis or strictures represent frequent complications in irritable bowel disease (IBD) patients. To date, treatment options for fistulas are limited and surgery is often required. Similarly, no preventive treatment for fibrosis and stricture formation has been established. Frequently, stricture formatio...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640616635957

    authors: Scharl M,Bruckner RS,Rogler G

    更新日期:2016-08-01 00:00:00

  • Young GI Societies in Europe: 2019 update.

    abstract:BACKGROUND:One of the aims of the Young Talent Group (YTG) is to make United European Gastroenterology (UEG) more attractive to young fellows interested in gastroenterology (GI), and to actively involve them in UEG activities and the activities of their respective national societies. In 2017, we conducted a survey amon...

    journal_title:United European gastroenterology journal

    pub_type: 新闻

    doi:10.1177/2050640620906771

    authors: Heinrich H,Rodríguez-Lago I,Nakov R,Skuja V,Acedo P,Nitsche U,Mikolasevic I,van Herwaarden Y

    更新日期:2020-03-01 00:00:00

  • Prognostic factors of hepatocellular carcinoma survival after radiofrequency ablation: A US population-based study.

    abstract:OBJECTIVE:To determine the survival outcome and prognostic factors of hepatocellular carcinoma (HCC) survival in patients who underwent radiofrequency ablation (RFA). METHODS:The Surveillance, Epidemiology and End Results (SEER) database was queried: There were 2588 HCC patients from 2004 to 2012 who underwent RFA. Th...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616659024

    authors: El-Fattah MA,Aboelmagd M,Elhamouly M

    更新日期:2017-03-01 00:00:00

  • Endosonography For Right-sided and Acute Upper Intestinal Misery: the EFRAIM study: A prospective, randomized, controlled, blinded study.

    abstract:BACKGROUND:Acute upper abdominal pain is a frequent symptom leading to hospital admission. OBJECTIVE:To determine whether a primary intra- and extraluminal diagnostic approach enabled by endoscopic ultrasound is as effective as a conventional diagnostic algorithm of transabdominal ultrasound followed by oesophagogastr...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640613498589

    authors: Jung A,Schlag C,Becker V,von Delius S,Lersch C,Jeliazkova P,Herner A,Bajbouj M,Schuster T,Meining A

    更新日期:2013-10-01 00:00:00

  • Deprescribing medications that may increase the risk of hepatic encephalopathy: A qualitative study of patients with cirrhosis and their doctors.

    abstract:BACKGROUND AND AIMS:Multiple medications are associated with an increased risk of incident hepatic encephalopathy. Despite this known risk, medications such as opioids, benzodiazepines, gabapentin/pregabalin, and/or proton pump inhibitors are increasingly prescribed to persons with cirrhosis. Deprescribing is a promisi...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620975224

    authors: Williams S,Louissaint J,Nikirk S,Bajaj JS,Tapper EB

    更新日期:2020-11-23 00:00:00

  • The XL probe: A luxury or a necessity? Risk stratification in an obese community cohort using transient elastography.

    abstract:Background:Transient elastography is a non-invasive tool which can stratify patients at risk of chronic liver disease. However, a raised body mass index has been independently associated with a failed or unreliable examination. Objective:The purpose of this study was to analyse the performance of two probes (M/XL) on ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618772944

    authors: Harris R,Card TR,Delahooke T,Aithal GP,Guha IN

    更新日期:2018-11-01 00:00:00

  • Italian consensus conference for colonic diverticulosis and diverticular disease.

    abstract::The statements produced by the Consensus Conference on Diverticular Disease promoted by GRIMAD (Gruppo Italiano Malattia Diverticolare, Italian Group on Diverticular Diseases) are reported. Topics such as epidemiology, risk factors, diagnosis, medical and surgical treatment of diverticular disease (DD) in patients wit...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640614547068

    authors: Cuomo R,Barbara G,Pace F,Annese V,Bassotti G,Binda GA,Casetti T,Colecchia A,Festi D,Fiocca R,Laghi A,Maconi G,Nascimbeni R,Scarpignato C,Villanacci V,Annibale B

    更新日期:2014-10-01 00:00:00

  • Ruling in or out a source of gastrointestinal bleeding.

    abstract:BACKGROUND AND AIMS:The search for a source of gastrointestinal bleeding is associated with two distinct approaches of trying to rule in a specific diagnosis or rule out any potential source of bleeding. The study aim was to understand the conceptual differences underlying the two searches. METHODS:The performance of ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640614557319

    authors: Sonnenberg A

    更新日期:2014-12-01 00:00:00