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Correspondence
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Volume 343:368-369 August 3, 2000 Number 5
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Hepatic Hemangioma

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 by Landor, M.
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To the Editor: We disagree with the decision of Drs. Landor and Petrozzo (March 16 issue)1 to perform two additional radionuclide imaging studies "to confirm a presumptive diagnosis of hemangioma." Hepatic hemangioma is typically an incidental finding, being present in 2 percent of the population. Computed tomography (CT) results in a specific diagnosis in nearly all cases, except those involving very small lesions.2 Large, cavernous hemangiomas often have a central scar or necrosis and have progressive, nodular or cloudlike enhancement, with the same degree of attenuation as is present in blood vessels.3 In our view, the CT features in the . . . [Full Text of this Article]

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