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. 2000 Oct 11;1(1):77-85.
doi: 10.1102/1470-7330/00/010077+09.

Modern surgery for liver metastases

Affiliations

Modern surgery for liver metastases

J P Lodge. Cancer Imaging. .
No abstract available

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Figures

Figure 1
Figure 1
48% 5-year survival from hepatic resection ( n =161).
Figure 2
Figure 2
58% for bilateral resection ( n =97); 35% for unilobar disease ( n =64) at 5 years ( p > 0.05). This demonstrates that patients with advanced disease can do well.
Figure 1
Figure 1
Metastasis from ovarian cancer. (A) CT showed lesions which are too small to characterize reliably; (B) CT 9 months later showed growth of metastasis.
Figure 2
Figure 2
Colorectal metastases. Arterial phase CT (A) and portal phase CT (B) show a single metastasis. SPIO-enhanced MRI (C) shows an additional 1 cm lesion.
Figure 3
Figure 3
MR technique with SPIO. (A) T2-weighted FSE sequence shows large metastasis in left lobe; (B) optimized gradient echo T2 shows improved contrast between the tumour and normal liver, better visualization of vascular structures, and an additional lesion in segment 8.
Figure 4
Figure 4
Benign liver lesions in a patient with colorectal cancer. (A) TSE T2 image showing 3 cm lesion which was indeterminate on ultrasound, also a second lesion of 7 mm. (B) and (C) T1-weighted image with gadolinium enhancement, arterial phases, showing typical peripheral nodular enhancement in the larger lesion but also an additional hypervascular lesion. Delayed post-gadolinium T1 image showing complete infilling of the 3 cm and 7 mm lesions, typical for haemangioma, and a faint persistent stain in the hypervascular lesion, suggestive of focal nodular hyperplasia. The FNH lesion was undetected on T2-weighted MRI, and also on ultrasound.

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