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Published on: April 28, 2022
The central scar: pathophysiology and imaging features.
Khaled M Elsayes1, Christine M Peterson, Christine O Menias
1Department of Radiology, University of Michigan Health Center, Ann Arbor, MI 48109-0030, USA. kelsayes@med.umich.edu
The central scar is an uncommon but useful radiologic finding. It aids in diagnosing unknown renal, hepatic, or pancreatic masses using various imaging techniques.
Area of Science:
- Radiology
- Medical Imaging
- Oncology
Background:
- The central scar is an uncommon finding in abdominal imaging.
- It can be a key feature in diagnosing masses of unknown origin.
- This finding is associated with renal, hepatic, and pancreatic neoplasms.
Purpose of the Study:
- To illustrate the imaging features of abdominal neoplasms with a central scar.
- To highlight the diagnostic utility of the central scar in computed tomography, magnetic resonance, and ultrasonography.
- To provide a pictorial review for radiologists and clinicians.
Main Methods:
- Review of computed tomography (CT) scans.
- Review of magnetic resonance (MR) imaging.
- Review of ultrasonographic (US) images.
- Correlation of imaging findings with histopathological diagnoses where available.
Main Results:
- Central scars exhibit characteristic appearances across CT, MR, and US.
- The presence of a central scar can narrow the differential diagnosis for abdominal masses.
- Specific patterns of central scarring are associated with different types of neoplasms.
Conclusions:
- The central scar, though uncommon, is a significant imaging biomarker.
- Recognizing the central scar improves diagnostic accuracy for abdominal neoplasms.
- Multimodality imaging is crucial for characterizing central scars and associated tumors.
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