Scintigraphic evaluation of a patient with hemangiosarcoma: Labeled red blood cell imaging is nondiagnostic

R. Hardoff*, E. Aghai, H. Bitterman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Perfusion vascularity mismatch is characteristic of liver cavernous hemangiomas. The large blood volume and slow perfusion are responsible for this pattern. Often a large lesion demonstrate 'cold' areas within the hemangioma, which are explained by slow or absent perfusion due to localized thrombosis. The authors present a poly-vinyl-chloride worker with a large liver lesion whose Tc-99m RBC scintigraphy was consistent with cavernous hemangioma with a 'cold' area. The lesion was diagnosed at surgery as hemangiosarcoma. It is concluded that malignant vascular lesions of the liver cannot be differentiated from the benign lesions by RBC imaging alone, because they may demonstrate similar patterns.

Original languageEnglish
Pages (from-to)986-988
Number of pages3
JournalClinical Nuclear Medicine
Volume18
Issue number11
DOIs
StatePublished - 1993
Externally publishedYes

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