case_images: PMC10701276_01
case_images: (A1-A3) Arterial phase CT. (B1-B3) Venous phase CT: The yellow arrows indicate enhanced and enlarged lymph nodes between the liver and stomach. (C1-C3) MRI T1-weighted image. (D1-D3) MRI T2-weighted image. (E1-E3) Diffusion-weighted MRI. (F1-F3) MRI ADC map. (G1-G3) Gadoxetic Acid-enhanced (Primovist) MRI.
case_images: fmed-10-1256176-g001.jpg
case_images: PMC10701276_01_fmed-10-1256176-g001.jpg
case_images: fig1
case_images: Additionally, the abdominal cavity has enlarged lymph nodes (Figure 1).
case_images: (A1-A8) [18F]FDG PET/CT scan. Multiple hypermetabolic heterogeneous lesions are present in the left lobe of the liver, indicating possible malignant lesions. Additionally, multiple hypermetabolic enlarged lymph nodes are seen in the space between the liver and stomach, suggesting metastasis. (B1-B8) [18F]AlF-OC PET/CT scan. A liver mass with multiple enlarged lymph nodes in the hepatogastric ligament shows high somatostatin receptor expression.
case_images: fmed-10-1256176-g002.jpg
case_images: PMC10701276_01_fmed-10-1256176-g002.jpg
case_images: fig2
case_images: The largest lymph node measures approximately 1.3 cm x 1.1 cm in cross-section (Figures 2A1-A8). The largest lymph node measures approximately 1.3 cm x 1.1 cm in cross-section (Figures 2B1-B8).
case_images: (A) Postoperative liver tumor. (B-I) Tumor pathology.
case_images: fmed-10-1256176-g003.jpg
case_images: PMC10701276_01_fmed-10-1256176-g003.jpg
case_images: fig3
case_images: The largest lymph node measures approximately 1.3 cm x 1.1 cm in cross-section (Figures 2A1-A8). The largest lymph node measures approximately 1.3 cm x 1.1 cm in cross-section (Figures 2B1-B8). Postoperative pathology report: The left hemi-liver specimen reveals a malignant tumor (Figure 3A). The Ki-67 proliferation index is 30% (Figures 3B-I).