Hepatocellular carcinoma

Case contributed by Dr Mohammadtaghi Niknejad

Presentation

Work up for right upper quadrant pain and elevated liver enzymes.

Patient Data

Age: 65 years
Gender: Male
ct

A 65×45 mm well-defined mass is present at the right liver lobe, which shows early inhomogeneous enhancement and delayed washout.

A 13 mm cyst with marginal calcification is noted at the lower pole of the right kidney. Additionally, there are a few simple cortical cysts in both kidneys.

pathology

The patient underwent liver mass resection, and histopathology evaluation confirmed well differentiated hepatocellular carcinoma.

Case Discussion

Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver and strongly associated with cirrhosis. It is typically diagnosed in late middle-aged or elderly adults and is more common in males. On CT images, usually, the mass enhances vividly during late arterial. It then washes out rapidly, becoming indistinct or hypoattenuating in the portal venous phase compared to the rest of the liver.

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