PMID: 22504244Apr 17, 2012

Well-differentiated hepatocellular carcinoma detected as hypovascularity by only CT during hepatic arteriography

Internal Medicine
Jun SaitoToshiyuki Matsuoka

Abstract

We describe a well-differentiated hepatocellular carcinoma (HCC) with alcohol-related liver cirrhosis in a 69-year-old man. Ultrasonography (US) disclosed a 10 mm hypoechoic nodule in segment 4; Sonazoid contrast-enhanced US and gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) revealed no defect in either the Kupffer phase or the hepatobiliary phase. Computed tomography during hepatic arteriography (CTHA), however, revealed a hypovascular nodule, but CT during arterial portography showed no perfusion defect. Histological analysis indicated a well-differentiated HCC. Thus, our detection of well-differentiated HCC disclosed by only CTHA attested to the efficiency of this modality, suggesting that it is more sensitive than Gd-EOB-GTPA-enhanced MRI.

References

Oct 1, 1992·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·N D TheiseS N Thung
Sep 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·International Working Party
Jun 15, 2005·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Luigi BolondiFabio Piscaglia
Aug 30, 2005·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Kazuhiro SaitoYoko Shimazaki
Dec 12, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Alejandro FornerJordi Bruix
Jan 30, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·International Consensus Group for Hepatocellular NeoplasiaThe International Consensus Group for Hepatocellular Neoplasia
May 1, 2009·Journal of Gastroenterology·Masato NaritaShinji Uemoto
Sep 2, 2010·World Journal of Gastroenterology : WJG·Keiji MitaYoshitake Hayashi

Related Concepts

Arteriography
Liver Carcinoma
Liver Cirrhosis, Alcoholic
Malignant Neoplasm of Liver
Tomography, X-Ray Computerized Axial
Arteries
Arteriography
Pentetic Acid
Liver Cirrhosis
Magnetic Resonance Imaging

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