case_images: PMC3590509_01
case_images: Enhanced computed tomography (CT) of the abdomen revealed a slightly enhanced heterogeneous tumor, 18 mm in diameter, between the Spiegel lobe of the liver and the IVC in early-phase images ((a) arrow), with no enhancement and washout in late-phase images ((b) arrow).
case_images: CRIM.MEDICINE2013-235698.001.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.001.jpg
case_images: fig1
case_images: Enhanced computed tomography of the abdomen revealed a slightly enhanced heterogeneous tumor, 18 mm in diameter, between the Spiegel lobe of the liver and the IVC in early-phase images (Figure 1(a)), with no enhancement or washout in late-phase images (Figure 1(b)).
case_images: Magnetic resonance imaging (MRI) of the abdomen. Magnetic resonance imaging (MRI) of this tumor revealed a contrasting low intensity on the T1-weighted image ((a) arrow head) and high intensity on the T2-weighted image ((b) arrow head).
case_images: CRIM.MEDICINE2013-235698.002.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging of this tumor revealed a contrasting low intensity on the T1-weighted image (Figure 2(a)) and high intensity on the T2-weighted image (Figure 2(b)).
case_images: The resected specimen was solid with a smooth surface.
case_images: CRIM.MEDICINE2013-235698.003.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.003.jpg
case_images: fig3
case_images: The resected specimen was solid with a smooth surface (Figure 3).
case_images: Histopathological findings. Microscopic examination revealed that the tumor consisted of uniform and spindle cells and had a fascicular growth pattern (Hematoxylin & Eosin: x600) (a). Immunohistochemical staining revealed that alpha-SMA (x600) (b) and HHF35 (x600) (c) were expressed in this tumor; MIB-1 index was about 60% (Ki67: x600) (d).
case_images: CRIM.MEDICINE2013-235698.004.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.004.jpg
case_images: fig4
case_images: This pathological feature was compatible with a mesenchymal tumor (Figure 4(a)). Immunohistochemical staining revealed that alpha-SMA and HHF35 were expressed in this tumor (Figures 4(b) and 4(c)), and c-kit and CD34 were negative. The MIB-1 index was about 60% (Figure 4(d)).
case_images: Enhanced computed tomography (CT) of the abdomen. The tumor was detected in the Spiegel of the liver on enhanced CT of the abdomen (arrow).
case_images: CRIM.MEDICINE2013-235698.005.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.005.jpg
case_images: fig5
case_images: After 12 months, the tumor was detected in the Spiegel of the liver on enhanced CT of the abdomen (Figure 5).
case_images: Computed tomography (CT) of the abdomen and chest. Multiple liver metastases (a) and lung metastases ((b) arrows) were detected on CT.
case_images: CRIM.MEDICINE2013-235698.006.jpg
case_images: PMC3590509_01_CRIM.MEDICINE2013-235698.006.jpg
case_images: fig6
case_images: Thirty-seven months after the operation, multiple liver and lung metastases were detected on CT (Figures 6(a) and 6(b)), and the patient died of multiple organic failures.