Early hepatocellular carcinoma developed within dysplastic nodule as nodule-within-nodule appearance: Case report with literature review.
ALT, Alanine amino-transferase
AST, aspartate aminotransferase
Alpha-FP, alpha-fetoprotein
BP, blood pressure
CBC, complete blood count
Chemoembolization
DSA, Digital subtraction angiography
Dysplastic nodule
Early HCC
HBV, hepatitis B virus
HCC, hepatocellular carcinoma
HCV, hepatitis C virus
HCV-Ab, HCV antibodies. T1-WI, T1-weighted images
HIV, human immunodeficiency virus
LDH, lactate dehydrogenase
MRI, magnetic resonance imaging
NR, normal range
Nodule-within-nodule
PR, Pulse rate
PT, prothrombin time
RAHA, right anterior hepatic artery
RR, respiratory rate
T2-WI, T2-weighted images
TACE, trans-arterial chemoembolization
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
19
07
2022
revised:
28
07
2022
accepted:
31
07
2022
entrez:
6
9
2022
pubmed:
7
9
2022
medline:
7
9
2022
Statut:
epublish
Résumé
Close follow-up of patients with liver cirrhosis has led to increased detection of hepatocellular carcinoma (HCC) at an early stage, especially with magnetic resonance imaging (MRI) innovations. We report the case of a 70-year-old man, with a recent history of liver cirrhosis due to chronic hepatitis C virus (HCV) complicated by hepatocellular carcinoma (HCC), and for whom trans-arterial chemoembolization (TACE) was planned, as the patient was assigned Child B7 at admission. Angiography performed during the first TACE cycle shows not only the "tumor blush" corresponding to previously detected HCC but also an additional small foci of HCC uptake seen within a large dysplastic nodule giving the appearance of "nodule-within-nodule." Early detection of hepatocellular carcinoma improves prognosis. Hence, it is essential to be aware of all early aspects of HCC, including the nodule-within-nodule appearance on cross-sectional imaging, and also in angiography, as in this case.
Identifiants
pubmed: 36065239
doi: 10.1016/j.radcr.2022.07.109
pii: S1930-0433(22)00654-9
pmc: PMC9440365
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4087-4090Informations de copyright
© 2022 Published by Elsevier Inc. on behalf of University of Washington.
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