Postby mpbser » Thu Jan 10, 2019 8:48 am
Reading about hemangiomas, I came across this:
On MRI, the typical appearance is a well-demarcated, homogenous lesion, hypointense on T1-weighted images and hyperintense on T2-weighted images, the “cotton-wool” aspect [27]. Because both malignancy and HH are hyperintense on T2-weighted images, the differentiation is done by increasing the echo time (TE): while the signal from malignant lesions tends to decrease, the one from HH increases [28]. Diffusion-weighted images are also useful in differentiating HH from malignant lesions.
Wife 4/17 Dx age 45
5/17 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED