Large hepatocellular carcinoma

Case contributed by Dr Abdel-Rahman Abdel-Halim

Patient Data

Age: 65 years old
Gender: Female
Modality: CT

Enlarged cirrhotic liver with coarse parenchyma, irregular outline and enlarged left and caudate lobes.

A large soft tissue mass is seen in the right hepatic lobe (segments V & VI), measuring about 9.5x11x10 cm in its maximum AP, transverse and craniocaudal diameters respectively. It shows heterogeneous enhancement and contains a central area of hypodensity consistent with a necrotic core.

There is contrast washout as the lesion is hypodense on the delayed phase. No intrahepatic biliary radicles dilatation. Patent homogenously enhancing portal vein and its main branches.

Case Discussion

A typical case of heptocellular carcinoma (proved pathologically), shows typical features of contrast enhancement.

HCC is the commonest primary malignant hepatic tumor in adults.

Features of hepatic cirrhosis are evident, as well.

 

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Case Information

rID: 31396
Case created: 7th Oct 2014
Last edited: 26th Feb 2016
Inclusion in quiz mode: Included

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