BJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Radiology (2006) 79, 319-325
© 2006 British Institute of Radiology
doi: 10.1259/bjr/81529894
This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Görg, C
Right arrow Articles by Barth, P
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Görg, C
Right arrow Articles by Barth, P

Colour Doppler ultrasound patterns and clinical follow-up of incidentally found hypoechoic, vascular tumours of the spleen: evidence for a benign tumour

C Görg, MD1, K Görg, MD1, T Bert, MD1 and P Barth, MD2

1 Medizinische Universitätsklinik, Baldingerstraße, 35043 Marburg/Lahn, Germany, 2 Institut für Pathologie der Universitätsklinik, Baldingerstraße, 35043 Marburg/Lahn, Germany


Figure 1
View larger version (136K):

[in a new window]
  		Figure 1. Patient No. 9. (a) B-mode ultrasound shows a well-demarcated solitary homogeneous hypoechoic splenic tumour. (b) Colour-Doppler ultrasound shows a tumour with marked diffuse intratumoral flow signals. (c) The lesion is composed of small inconspicuous round lumina surrounded by broad strands of collagen fibre-rich connective tissue (haematoxylin and eosin x 200). (d) Immunohistochemistry (x 200) demonstrates a peculiar network of small capillaries lined by CD34 positive endothelia (sclerosing capillary haemangioma).

 

Figure 2
Figure 2
View larger version (278K):

[in a new window]
  		Figure 2. Patient No. 5. (a) B-mode ultrasound shows a small well-demarcated hypoechoic central hyperechoic splenic tumour (arrows). (b) Power-Doppler ultrasound shows a vascular tumour with marked diffuse intratumoral flow signals (arrows). (c) In the early arterial phase (15 s), contrast enhanced ultrasound (SonoVue®) shows a central contrast filling indicating the increased vascular lesion (arrow). (d) In the late parenchymal phase (4 min) contrast enhanced ultrasound (SonoVue®) shows a hypoechoic contrast enhancement of the tumour in comparison with the surrounding normal splenic tissue (arrow). (e) Contrast CT shows a hyperintense vascular splenic tumour (arrow).

 

Figure 3
Figure 3
View larger version (188K):

[in a new window]
  		Figure 3. Patient No.10.(a) B-mode ultrasound shows two well-demarcated hypoechoic central hyperechoic splenic lesions. (b) Colour-Doppler ultrasound shows two vascular tumours with marked radial intratumoral flow signals in both lesions. (c) In the early arterial phase (11 s), contrast enhanced ultrasound shows a peripheral contrast enhancement of both tumours in comparison with the surrounding normal splenic tissue (arrows). (d) In the parenchymal phase (1 min), contrast enhanced ultrasound shows a complete filling of both lesions with an isoechoic enhancement of both tumours in comparison with the surrounding normal splenic tissue. (e) In the late parenchymal phase (3 min), contrast enhanced ultrasound shows a wash out phenomenon of both lesions with a hypoechoic enhancement of both tumours in comparison to the surrounding normal splenic tissue (arrows). (f) Contrast CT shows a hyperintense peripheral ring enhancement of the splenic tumour (arrow). (g) Contrast CT shows a complete filling of the splenic tumour (arrow).

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
BJR DMFR IMAGING  ALL BIR JOURNALS 
Copyright © 2006 by the British Institute of Radiology.