Well-differentiated hepatocellular carcinoma detected as hypovascularity by only CT during hepatic arteriography.
Intern Med
; 51(8): 885-90, 2012.
Article
en En
| MEDLINE
| ID: mdl-22504244
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.
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Banco de datos:
MEDLINE
Asunto principal:
Tomografía Computarizada por Rayos X
/
Carcinoma Hepatocelular
/
Cirrosis Hepática Alcohólica
/
Neoplasias Hepáticas
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Japón