Hepatocellular carcinoma - large

Case contributed by Dr MohammadTaghi Niknejad

Presentation

Hepatomegally, jaundice and elevated alpha fetoprotein.

Patient Data

Age: 65 years old
Gender: Male
Modality: CT

There is Severe hepatomegally; Particullary, left lobe of the liver is tumoural with heterogeneous enhancement. The mass enhanced on early phase and washed out at delayed phase and become indistinct or hypodense compared to the rest of the liver at the delayed phase. Portal vein tumour thrombus also is noted at the left side. Abdominal free fluid and porta hepatis lymphadenopathy are seen. 

Case Discussion

The findings in a 65 Y/O patient with  jaundice and elevated alpha fetoprotein are consistent with hepatocellular  carcinoma.
Note the dilated hepatic artery at early phase which is compatible with hypervascular hepatic tumours.

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Case Information

rID: 21247
Case created: 12th Jan 2013
Last edited: 14th Feb 2016
Inclusion in quiz mode: Included

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