Cases Journal


Open Access Case Report

Telangiectatic adenoma – computed tomography and magnetic resonance findings: a case report and review of the literature

Tatiana C Takayassu1, Edson Marchiori1,2*, Antonio Eiras1,3, Rafael F Cabral1, Fernanda C Cabral1, Raquel R Batista1, Gláucia Zanetti1 and Paula CP Dias1

Author Affiliations

1 Department of Radiology of the Federal University of Rio de Janeiro. Rua Professor Rodolpho Paulo Rocco, 255. Cidade Universitária. CEP 21941-913, Brazil

2 Department of Radiology of the Fluminense Federal University. Rua Marquês do Paraná, 530. Centro. CEP 24000-000 Niterói. Rio de Janeiro. Brazil

3 Department of Radiology, Hospital Barra D'Or, LABS-D'Or Hospital Network, Avenida Ayrton Senna, 2541. CEP 22775-002, Barra da Tijuca. Rio de Janeiro, Brazil

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Cases Journal 2009, 2:24 doi:10.1186/1757-1626-2-24

Published: 7 January 2009

Abstract

Telangiectatic adenoma is a new classification of a hepatic lesion. It was previously named telangiectatic focal nodular hyperplasia but it is in fact true adenoma with telangiectatic features. We report here a case of telangiectatic adenoma in a 72-year-old woman. The image features are lack of a central scar, a heterogeneous lesion, hyperintensity in T1-weighted MR images, strong hyperintensity in T2-weighted MR images, and persistent contrast enhancement in delayed-phase contrast-enhanced CT or T1-weighted MR images. It is a monoclonal lesion with potential of malignancy. The treatment of telangiectatic adenoma is surgery, the same way as hepatic adenoma. Focal nodular hyperplasia may be managed by clinical follow-up alone.