Korean J Hepatol.  2009 Jun;15(2):193-200. 10.3350/kjhep.2009.15.2.193.

A case of hypervascular hyperplastic nodules mimicking hepatocellular carcinoma in alcoholic liver cirrhosis

Affiliations
  • 1Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. kbs9225@cu.ac.kr
  • 2Department of Radiology, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 3Department of Pathology, Catholic University of Daegu School of Medicine, Daegu, Korea.

Abstract

Benign hypervascular hyperplastic nodules (HHN) in liver cirrhosis are very rare. It is important to distinguish between regenerative nodules (hyperplastic nodules) and tumorous nodules (dysplastic or neoplastic nodules) in hepatocellular nodular lesions. The differential diagnosis between HHN and hepatocellular carcinoma on the basis of radiologic imaging is often difficult, and is clinically important when determining the therapeutic plan. Therefore, histological confirmation by needle biopsy sampling of the liver is necessary for a correct diagnosis of HHN. We report herein a case of benign HHN mimicking hepatocellular carcinoma in a 32-year-old male alcoholic liver cirrhosis patient without viral hepatitis infection.

Keyword

Hypervascular hyperplastic nodules; Liver cirrhosis, Alcoholic; Carcinoma, Hepatocellular

MeSH Terms

Adult
Carcinoma, Hepatocellular/diagnosis
Humans
Hyperplasia/diagnosis
Liver/*pathology
Liver Cirrhosis, Alcoholic/*diagnosis/pathology/radiography
Liver Neoplasms/diagnosis
Magnetic Resonance Angiography
Male
Tomography, X-Ray Computed
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