Gut Liver.  2013 Jan;7(1):116-119.

Rapidly Progressive Hepatocellular Carcinoma Mimicking Benign Portal Vein Thrombosis: A Case Report

Affiliations
  • 1Department of Radiology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.
  • 2Department of Radiology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea. kjradsss@dreamwiz.com
  • 3Department of Hepaticobiliary and Pancreatic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.
  • 4Department of Pathology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.

Abstract

Portal vein thrombosis (PVT) is commonly associated with liver cirrhosis, irrespective of the presence of hepatocellular carcinoma (HCC). Given that malignant PVT is a poor prognostic factor in patients with HCC, it is important to differentiate malignant PVT from benign PVT. Because malignant PVT has been reported to be contiguous with parenchymal HCC, in most cases, the presence of PVT alone indicates a benign entity. We report the case of a patient with rapid progression of malignant PVT mimicking benign PVT but without definite parenchymal HCC on imaging modalities.

Keyword

Hepatocellular carcinoma; Portal vein thrombosis; Disease progression; Computed tomography; Magnetic resonance imaging

MeSH Terms

Carcinoma, Hepatocellular
Disease Progression
Humans
Liver Cirrhosis
Magnetic Resonance Imaging
Portal Vein
Thrombosis
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