Contrast-Enhanced Ultrasound of Fibrolamellar Hepatocellular Carcinoma Kontrastmittelsonografie eines fibrolamellären hepatozellulären Karzinoms
Wildner D, Schlitt HJ, Bäuerle T, Haibach M (2022)
Publication Type: Journal article
Publication year: 2022
Journal
Book Volume: 45
Pages Range: 120-124
Journal Issue: 2
DOI: 10.1055/a-2248-0609
Abstract
We present the case of a 24-year-old male patient, who was admitted for endoscopy due to sustained pain in the upper abdomen with nausea and postprandial fullness without vomiting for more than 5 months. In the physical examination, an epigastric induration was found. Endoscopy revealed an external impression of the proximal duodenum. Beyond that, normal findings could be ascertained in gastroscopy and ileo-colonoscopy. Abdominal ultrasound identified a large hypoechoic lesion in the left liver lobe with a sharp delineation. Along the upper mesenteric vessels, enlarged lymphnodes were visible with contact to the proximal duodenum. Contrast-enhanced ultrasound (CE-US) was conducted and revealed the typical perfusion pattern of hepatocellular carcinoma. For further assessment, an ultrasound-guided core-biopsy of the lesion was performed. The histopathological evaluations resulted in the diagnosis of a hepatocellular carcinoma of fibrolamellar subtype. With the present case, we want to illustrate the perfusion pattern of a fibrolamellar hepatocellular carcinoma in contrast-enhanced ultrasound. Even though the tumor tissue is surrounded by lamellar bands of fibrosis with collagen-rich fibers, the perfusion pattern is consistent with the previously known appearance of HCC in CE-US.
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Germany (DE)How to cite
APA:
Wildner, D., Schlitt, H.J., Bäuerle, T., & Haibach, M. (2022). Contrast-Enhanced Ultrasound of Fibrolamellar Hepatocellular Carcinoma Kontrastmittelsonografie eines fibrolamellären hepatozellulären Karzinoms. TumorDiagnostik & Therapie, 45(2), 120-124. https://doi.org/10.1055/a-2248-0609
MLA:
Wildner, Dane, et al. "Contrast-Enhanced Ultrasound of Fibrolamellar Hepatocellular Carcinoma Kontrastmittelsonografie eines fibrolamellären hepatozellulären Karzinoms." TumorDiagnostik & Therapie 45.2 (2022): 120-124.
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