Hepatocellular Carcinoma Incidentally Discovered by Liver Abscess Associated with CBD Stone and Cholangitis.
- Author:
Yong Jick SUNG
;
Su Eun YU
;
Sun Mi PARK
;
Dong Bin KIM
;
Si Hyun BAE
;
Jin Il KIM
;
Choon Sang BANG
;
Young Min PARK
;
Kyu Won CHUNG
;
Hee Sik SUN
;
Doo Ho PARK
;
Sang Hoon LEE
;
Eun Duck CHANG
- Publication Type:Original Article
- Keywords:
Hepatocellular carcinoma;
Liver abscess;
CBD stone
- MeSH:
Abscess;
Aged;
Angiography;
Carcinoma, Hepatocellular*;
Cholangitis*;
Coinfection;
Diagnosis;
Diagnosis, Differential;
Hepatitis C, Chronic;
Humans;
Korea;
Liver Abscess*;
Liver*;
Magnetic Resonance Imaging;
Ultrasonography
- From:The Korean Journal of Hepatology
1999;5(3):253-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatocellular carcinoma (HCC) is one of the most common fatal malignancies worldwide, especially in Korea. The recent advances in diagnostic techniques, such as serum tumor marker assay, ultrasonography, computerized tomography (CT), magnetic resonance imaging (MRI), and angiography, allow us to detect HCC at early stage. Even though, it remains difficult to distinguish malignant nodules from benign space-ccupying lesions of liver. Distinction of HCC from benign entities such as liver abscess is important because failure of prompt diagnosis could result in a missed opportunity for curative treatment. The differential diagnosis of HCC and liver abscess, especially HCC presenting as abscess, is sometimes very difficult. We report a case of HCC with liver abscess caused by secondary infection of CBD stone and cholangitis, that mimicked the dynamic CT findings of liver abscess, in an elderly patient with chronic hepatitis C virus infection.
