Diffuse hepatocellular cancer with malignant portal vein thrombosis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Known patient with HCV and liver cirrhosis developed deteriorated liver function tests

Patient Data

Age: 70
Gender: Male

Typical cirrhotic changes are evident by enlarged left lobe, irregular nodular outer surface and widened fissures. There is malignant infiltration of the left hepatic lobe that enhances in the arterial phase and displays wash out on portovenous phase. Furthermore, there is malignant thrombus in the left branch of portal vein that follows the same enhancing criteria. GB stones, splenomegaly and left renal stone are other findings.

The white arrow refers to the thrombus tail.

Case Discussion

Malignant portal vein thrombus shows enhancing criteria as same as hepatocellular carcinoma on triphasic CT scan.

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Case information

rID: 37397
Case created: 5th Jun 2015
Last edited: 15th Dec 2015
Inclusion in quiz mode: Included

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