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Benign and malignant hepatocellular lesions in patients with vascular liver diseases

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Abstract

A variety of vascular liver disorders can induce hepatocellular tumors. They may be related to portal venous deprivation, venous outflow obstruction, or arterial diseases. Their common feature is an imbalance between hepatic arterial and portal venous blood flow leading to an increased hepatic arterial inflow. Consequently, hepatocellular tumors may arise, most commonly focal nodular hyperplasia-like lesions but hepatocellular adenomas and hepatocellular carcinoma may be seen as well. This article will review the most common vascular liver diseases associated with hepatocellular nodules (Budd–Chiari syndrome, congenital portosystemic shunt, hereditary hemorrhagic telangiectasia, and portal cavernoma). For each condition, imaging findings will be described as well as the differential diagnosis and the diagnostic clues.

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Authors and Affiliations

  1. Department of Radiology, Assistance-Publique Hôpitaux de Paris, APHP, HUPNVS, Hôpital Beaujon, 100 bd du Général Leclerc, 92110, Clichy, France

    Valérie Vilgrain, Morgane Van Wettere & Maxime Ronot

  2. Université Paris Diderot, Sorbonne Paris Cité, INSERM CRI, 75018, Paris, France

    Valérie Vilgrain, Valérie Paradis, Dominique Valla, Maxime Ronot & Pierre-Emmanuel Rautou

  3. Department of Pathology, Assistance-Publique Hôpitaux de Paris, APHP, HUPNVS, Hôpital Beaujon, Clichy, France

    Valérie Paradis

  4. Department of Hepatology, Assistance-Publique Hôpitaux de Paris, APHP, HUPNVS, Hôpital Beaujon, DHU Unity, Reference Center for Vascular Liver Diseases, Clichy, France

    Dominique Valla & Pierre-Emmanuel Rautou

  5. UMR-970, INSERM Paris Cardiovascular Research Center, 75015, Paris, France

    Pierre-Emmanuel Rautou

Authors
  1. Valérie Vilgrain
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  2. Valérie Paradis
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  4. Dominique Valla
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  6. Pierre-Emmanuel Rautou
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Correspondence to Maxime Ronot.

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Vilgrain, V., Paradis, V., Van Wettere, M. et al. Benign and malignant hepatocellular lesions in patients with vascular liver diseases. Abdom Radiol 43, 1968–1977 (2018). https://doi.org/10.1007/s00261-018-1502-7

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  • DOI: https://doi.org/10.1007/s00261-018-1502-7

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