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Contrast-enhanced ultrasound (CEUS): one step forward in the identification of “high risk” solitary fibrotic tumors of the liver

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Abstract

Background

Solitary fibrous tumors of the liver (SFTL) are rare neoplasms, whose identification and definition of malignant potential are challenging.

Case presentation

A 62-year-old patient underwent conventional imaging and CEUS to characterize an indeterminate liver lesion after other imaging techniques were inconclusive. In fact, all diagnostic techniques concluded that it was a partially fibrotic lesion, while CEUS determined its extra-hepatocellular origin and malignant potential, initially hypothesized to be a cholangiocarcinoma. Due to the possible risk of seeding following a biopsy procedure, the patient was a candidate for surgery. Subsequently, histopathological examination revealed SFTL.

Conclusion

CEUS confidently characterized the malignancy and hypothesized the origin of the liver lesion, thus aiding in treatment planning.

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Data availability

All data can be submitted by the two main authors and two co-authors, as available to all the healthcare professionals.

Abbreviations

SFT:

Solitary fibrous tumor

SFTL:

Solitary fibrous tumor of the liver

y.o.:

Years old

CEUS:

Contrast-enhanced US

MRI:

Magnetic resonance imaging

CT:

Computerized tomography

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Authors and Affiliations

  1. Clinica Igea, Milan, Italy

    Maria Franca Meloni & Ilaria Mariani

  2. Ospedale Manzoni, ASST Lecco, Lecco, Italy

    Ilaria Mariani

  3. Ospedale Valduce, Como, Italy

    Pietro Galluzzi, Emanuela Filippi, Andrea Romanzi & Alberto Vannelli

  4. Università Degli Studi Di Milano, Scuola Di Specializzazione in Chirurgia Generale, Milan, Italy

    Sabrina Pinto

Authors
  1. Maria Franca Meloni
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  2. Ilaria Mariani
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  3. Pietro Galluzzi
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  5. Emanuela Filippi
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  6. Andrea Romanzi
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Correspondence to Ilaria Mariani.

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Meloni, M.F., Mariani, I., Galluzzi, P. et al. Contrast-enhanced ultrasound (CEUS): one step forward in the identification of “high risk” solitary fibrotic tumors of the liver. J Ultrasound (2024). https://doi.org/10.1007/s40477-024-00890-z

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  • DOI: https://doi.org/10.1007/s40477-024-00890-z

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