Breast cancer pseudocirrhosis

Case contributed by Dr Michael P Hartung

Presentation

Breast cancer on chemotherapy.

Patient Data

Age: 55
Gender: Female
CT

Presentation

Innumerable liver metastases. 

CT

6-months after chemotherapy

New hepatic volume loss with diffusely nodular and irregular appearance. Low-attenuation bands branch throughout the liver and extend to the capsule, with associated retraction. Multiple lesions have resolved. 

Case Discussion

Breast cancer metastases with treatment effect following chemotherapy, resulting in scarring and capsular retraction. This results in a typical appearance of pseudocirrhosis, which can indicate either regression of tumor after treatment, or progression of fibrosis surrounding infiltrative (often hard to see) hepatic metastases. 

In contrast to other cases where the liver is enlarged and the patients are not actively on chemotherapy, this case favors treatment response. 

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Case information

rID: 65406
Published: 18th Jan 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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