title: Diffuse intrasinusoidal liver metastasis of small cell lung cancer causing fulminant hepatic failure: CT findings-a case report.
abstract: A 65-year-old man with small cell lung cancer treated with two courses of chemotherapy manifested appetite loss and abdominal distention 10 days before admission. Helical CT scanning of the abdomen and pelvis disclosed marked hepatomegaly without any visible nodular lesion in the hepatic parenchyma. He died of severe liver dysfunction with multiorgan failure on the 20th hospital day. Autopsy revealed diffuse invasion of tumor cells into the sinusoid throughout the liver.
authors.affiliation: Department of Radiology, Kameda Medical Center, Kamogawa, Chiba, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Ihara
authors.forename: N
authors.initials: N
authors.lastname: Yashiro
authors.forename: T
authors.initials: T
authors.lastname: Kinoshita
authors.forename: J
authors.initials: J
authors.lastname: Yoshigi
authors.forename: T
authors.initials: T
authors.lastname: Ouchi
authors.forename: M
authors.initials: M
authors.lastname: Narita
authors.forename: C
authors.initials: C
authors.lastname: Hattori
authors.forename: N
authors.initials: N
authors.lastname: Kaneko
mesh_terms: D000368:Aged; D018288:Carcinoma, Small Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D017093:Liver Failure / Q000000981:diagnostic imaging / Q000209:etiology*; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D014057:Tomography, X-Ray Computed