Spontaneous complete necrosis of hepatocellular carcinoma: A case report and review of the literature

Oncology Letters
Yuki TakedaTatsuya Kojima

Abstract

The present study reports the case of a 68-year-old male patient who presented to Tokyo Rosai Hospital for the treatment of alcoholic liver disease. A high density was observed in liver segment S2, while a tumor, 30 mm in size, exhibiting a low density was observed in the delayed phase upon contrast-enhanced computed tomography (CT), which was performed prior to admission. The tumor appeared slightly poorly defined upon abdominal ultrasound and was observed as a 30 mm low-echoic nodule that was internally heterogeneous. A 5-mm thick contrast enhancement effect was observed in the tumor border in the vascular phase on Sonazoid contrast-enhanced ultrasonography, while a defect in the entire tumor was observed in the post-vascular phase. Dysphagia had commenced three months prior to presentation and a weight loss of ~3 kg was observed. Therefore, the patient was admitted to Tokyo Rosai Hospital due to the presence of a hepatic tumor, and to undergo a close inspection of the cause of the tumor. Upon close inspection, it was determined that the weight loss and aphagia were caused by progressive bulbar paralysis. A contrast-enhanced CT was performed on post-admission day 29 as a follow-up regarding the hepatic tumor. As a result, alt...Continue Reading

References

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Nov 19, 2002·Digestive Surgery·Yoshikazu MorimotoHiroaki Fushimi
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Jul 14, 2012·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Tadashi YokoyamaEiji Uchida

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Citations

Apr 10, 2016·International Journal of Surgery Case Reports·Ryusuke SaitoToshio Noriyuki
Jun 24, 2017·World Journal of Gastroenterology : WJG·Akira SakamakiShuji Terai
Jul 25, 2020·Clinical Journal of Gastroenterology·Shinichi AkahoshiToru Beppu
Jan 6, 2021·International Journal of Surgery Case Reports·Daisuke MuroyaKoji Okuda

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Methods Mentioned

BETA
surgical resection

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