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Breast cancer and liver lesions

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Added: 04.11.2019
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Brightsky wrote:. Hi everyone. I just got out of the hospital with an episode of diverticulitis which is turning out to be my archenemy. I had a CT scan and as luck would have it, they found a sub-centimeter, hypoenhancing lesion that is too small to characterize in my liver. I guess liver mets show up as hypoenhancingbut also other benign liver things can too.
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Metastatic Cancer

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Metastatic Breast Cancer Network » Liver Mets

I am aware my questions about this need to be directed to my medical team but thought I would also throw it out here as well. I am not sure if anyone else has had the experience where during a staging CT scan they found a lesion on the liver. Luckily the bone scan was fine except for mild arthritis which I knew about. The CT scan picked up 2 lesions in my liver 7mm and 10 mm. Anyway it caused a bit dilemma at the hospital and for a short time a liver biopsy was considered then taken off the table. The Radiographer is thinking it might be a hemangioma rather than metastases and sticking needles into a hemangioma is very risky apparently. A subsequent liver MRI was not able to confirm a definite diagnosis but they are now thinking the lesions look like atypical hemangioma which is benign.
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Breast Cancer Spread to the Liver

The liver presents with a variety of lesions for evaluation and appropriate triage with imaging. In patients without a known malignancy the vast majority of non-cystic lesions are benign hemangioma, FNH, adenoma, focal fat, etc. However, common benign hepatic lesions may pose a dilemma, if their imaging features are atypical. While metastases may be a common diagnosis in cancer, it is important to recognise varied patterns of liver metastases after chemotherapy or after surgery. Chemotherapy-related focal or nodular fat deposition can also lead to variety of pseudolesions and one needs to be aware of these appearances and distinguish them from fat-containing hepatic tumors [ 3 ].
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For most, the breast cancer has already traveled to another part of the body, such as the bones, liver, or lung. The risk of cancer spread to the brain is usually highest for women with more aggressive subtypes of breast cancer, such as HER2-positive or triple-negative breast cancer. If your doctor suspects brain metastasis, he or she will order an MRI magnetic resonance imaging study of the brain, often with contrast solution. This solution is delivered intravenously and then travels into the brain, helping to make the study images clearer. Usually, an MRI can determine whether an unusual finding in the brain is metastatic breast cancer.
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