J Liver Cancer.  2017 Mar;17(1):94-99. 10.17998/jlc.17.1.94.

A Case of Simultaneous Resection of Recurrent Combined Hepatocellular Cholangiocarcinoma and Hypovascular Hepatocellular Carcinoma

• Kim TH
• Um SH
• Park SJ
• Park SW
• Lee HA
• Seo YS
• Yu YD
• Kim DS
• Kim JY

• KMID: 2376811
• DOI: http://doi.org/10.17998/jlc.17.1.94

Abstract

Liver cancer is more complex to treat compared to cancers in other organs, since liver function should be considered. In addition, only a few patients can be applied curative treatment due to advanced stage at diagnosis. Therefore, early stage detection is important and has been increased through screening and surveillance programs using image modalities recently. However, it is still difficult to diagnose small or hypovascular hepatocellular carcinoma (HCC) even using advanced image modalties. In particular, hypovascular HCCs do not show arterial contrast enhancement which is a typical finding of HCC on computed tomography (CT) and magnetic resonance imaging (MRI). Those also account for a considerable portion of early HCC. We present 54 yearsold man who had recurrent hypervascular and hypovascular nodules on three phase CT and gadoxetic acid-enhanced MRI. The nodules were removed by surgical resection and confirmed as combined hepatocellular-cholangiocarcinoma and well differentiated HCC respectively.

Keyword

Hepatocellular carcinoma; Magnetic resonance imaging; Early diagnosis

MeSH Terms

Carcinoma, Hepatocellular*
Cholangiocarcinoma*
Diagnosis
Early Diagnosis
Humans
Liver
Liver Neoplasms
Magnetic Resonance Imaging
Mass Screening