Unusual presentation of hepatocellular carcinoma and assisted diagnosis by liver scan

被引：1
|
作者：
Huang, WS
Liu, YC
Yu, CY
Chou, JM
Jen, TK
机构：
[1] Tri Serv Gen Hosp, Dept Nucl Med, Taipei 100, Taiwan
[2] Tri Serv Gen Hosp, Dept Surg, Taipei 100, Taiwan
[3] Tri Serv Gen Hosp, Dept Radiol, Taipei 100, Taiwan
[4] Tri Serv Gen Hosp, Dept Pathol, Taipei 100, Taiwan
来源：
CLINICAL NUCLEAR MEDICINE | 2000年 / 25卷 / 07期
关键词：
focal nodule hyperplasia; hepatocellular carcinoma; liver scan;
D O I：
10.1097/00003072-200007000-00022
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
A 66-year-old woman reported intermittent right epigastric pain of 2 years' duration. Sonography showed a hyperechoic nodule in the lower portion of her right hepatic lobe (segment 6). Computed tomography (CT) showed features of focal nodular hyperplasia (FNH). Magnetic resonance imaging (MRI) could not distinguish between hepatocellular carcinoma (HCC) and FNH. Serum alpha-fetoprotein and carcinoembryonic antigen levels were unremarkable (3.9 ng/dl and 1.1 ng/dl, respectively). Liver scintigraphy showed a photopenic area in the corresponding site seen on the radiologic examinations. Histologic analysis indicated HCC with cirrhosis. FNH is a benign condition, but HCC is a fatal malignant disease. A correct differential diagnosis between FNH and HCC is critical.
引用
收藏
页码：563 / 564
页数：2
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