A Case of Hepatocellular Carcinoma Mimicking Focal Nodular Hyperplasia.
- Author:
Young Eun JOO
;
Young Ho SEO
;
Wan Sik LEE
;
Nam Jin KIM
;
Hyun Taek AHN
;
Kang Seok SEO
;
Hyun Soo KIM
;
Jong Sun REW
;
Sang Woo JUHNG
;
Sei Jong KIM
- Publication Type:Case Report
- Keywords:
Focal nodular hyperplasia;
Hepatocellular carcinoma
- MeSH:
Adenoma;
Carcinoma, Hepatocellular*;
Diagnosis;
Focal Nodular Hyperplasia*;
Magnetic Resonance Imaging;
Radionuclide Imaging;
Sensitivity and Specificity
- From:The Korean Journal of Hepatology
1998;4(4):393-398
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Distinction of hepatocellular carcinoma from benign entities such as focal nodular hyperplasia is important because failure of prompt diagnosis could result in a missed opportunity for curative resection. The differential deagnosis, especially among focal nodular hyperplasia and adenoma and even hepatocellualr carcinoma, may have difficult; and when using inly a single imaging method, the diagnosis is often equivocal. Therefore, a combination of imaging modalities is preferred. For focal nodular hyperplasia, the combination of computerized tomography (CT ), magnetic resonance imaging (MRI), and radionuclide scintigraphy showed a high sensitivity and specificity. But, histologic examination is required for the differential diagnos is of hepatic mass. We report a case of hepatocellular carcinoma without clinical evidence of malignancy or serum elevation of tumor marker, that mimicked the CT , MRI, and radionuclide scint igraphic appearance of focal nodular hyperplasia.
