Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

Thanh-Phuong N. Afiat; Timothy N. Hembree; Erin A. Dean; Cyrillo Araujo; Luis R. Pena; Marilin Rosa; Hyo S. Han; Kaitlin Hendrix; Asha Ramsakal

doi:10.12659/AJCR.924141

02 September 2020 : Case report USA

Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

Challenging differential diagnosis, Unusual setting of medical care

Thanh-Phuong N. Afiat^1BDEF*, Timothy N. Hembree^12BDEF, Erin A. Dean^3BDEF, Cyrillo Araujo^24DEF, Luis R. Pena^5DEF, Marilin Rosa^6DE, Hyo S. Han^27DEF, Kaitlin Hendrix^8E, Asha Ramsakal^12EF

DOI: 10.12659/AJCR.924141

Am J Case Rep 2020; 21:e924141

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Figure 4. MRI of the abdomen, 3/10/19. (A) Axial T2 weighted image demonstrates diffusely and somewhat linear increased T2 signal in the right and left hepatic lobes (thin arrows). Note more confluent areas of increased signal in the right hepatic lobe indicating edema/necrosis (*). (B) Axial T1 post contrast image shows heterogeneous enhancement of the liver with areas of hypo-enhancement (thick arrows) suggesting underlying ischemia.

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Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

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