A Case of Simultaneous Resection of Recurrent Combined Hepatocellular Cholangiocarcinoma and Hypovascular Hepatocellular Carcinoma.
- Author:
Tae Hyung KIM
1
;
Soon Ho UM
;
Sang Jung PARK
;
Seung Woon PARK
;
Han Ah LEE
;
Yeon Seok SEO
;
Young Dong YU
;
Dong Sik KIM
;
Joo Young KIM
Author Information
- Publication Type:Case Report
- Keywords: Hepatocellular carcinoma; Magnetic resonance imaging; Early diagnosis
- MeSH: Carcinoma, Hepatocellular*; Cholangiocarcinoma*; Diagnosis; Early Diagnosis; Humans; Liver; Liver Neoplasms; Magnetic Resonance Imaging; Mass Screening
- From:Journal of Liver Cancer 2017;17(1):94-99
- CountryRepublic of Korea
- Language:Korean
- Abstract: Liver cancer is more complex to treat compared to cancers in other organs, since liver function should be considered. In addition, only a few patients can be applied curative treatment due to advanced stage at diagnosis. Therefore, early stage detection is important and has been increased through screening and surveillance programs using image modalities recently. However, it is still difficult to diagnose small or hypovascular hepatocellular carcinoma (HCC) even using advanced image modalties. In particular, hypovascular HCCs do not show arterial contrast enhancement which is a typical finding of HCC on computed tomography (CT) and magnetic resonance imaging (MRI). Those also account for a considerable portion of early HCC. We present 54 yearsold man who had recurrent hypervascular and hypovascular nodules on three phase CT and gadoxetic acid-enhanced MRI. The nodules were removed by surgical resection and confirmed as combined hepatocellular-cholangiocarcinoma and well differentiated HCC respectively.
