Multifocal hepatocellular carcinoma in cirrhotic patient

Case contributed by Mohammadtaghi Niknejad


Elevated liver enzymes and alpha-fetoprotein.

Patient Data

Age: 75 years
Gender: Male

Massive abdominopelvic ascites is present.

The liver is atrophic and has irregular margins inferring cirrhosis.

At least three hypervascular masses with delayed washout are noted in the liver, suggesting hepatocellular carcinoma.

Recanalization of the falciform ligament vascular structures and umbilical vein are seen, accompanied by some perigastric and distal paraesophageal collateral vessels consistent with portal hypertension

The prostate gland is enlarged. 

Degenerative changes such as osteophytosis are seen in the lumbar spine.
Scoliosis with leftward convexity is present in the lumbar spine.

Case Discussion

Cirrhosis with evidence of portal hypertension, ascites, and multifocal hypervascular masses compatible with hepatocellular carcinoma.

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