Multifocal hepatocellular carcinoma with portal vein thrombosis

Case contributed by Dr Heba Abdelmonem


Liver cirrhosis with multiple hepatic masses seen on ultrasound

Patient Data

Age: 65 years
Gender: Male

Cirrhotic liver with multiple right lobe focal masses which meet the criteria of malignant hepatoma with arterial hyperenhancement and washout on venous and delayed phase imaging.

Moderate amount of abdominal ascites.

Filling defects of the main portal vein and its branches.

Multiple lymph nodes in the porta hepatis region are noted as well.

Case Discussion

Thrombosis of the portal vein is a known complication of hepatocellular carcinoma and can be classified into:

type A: the main portal vein is thrombosed

type B: right or left main branch thrombosis

type C: the second- or lower-order portal vein branches are thrombosed

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Case information

rID: 52400
Published: 14th Apr 2017
Last edited: 27th Apr 2019
Inclusion in quiz mode: Included

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