J Korean Radiol Soc.  1982 Sep;18(3):585-592. 10.3348/jkrs.1982.18.3.585.

Computed tomographic findings of hepatocellular carcinoma

• Eun CK

• KMID: 2463285
• DOI: http://doi.org/10.3348/jkrs.1982.18.3.585

Abstract

It is well known that CT is very useful in the evalution of hepatocellular carcinoma. The computed tomographicfindings of 56 patients diagnosed as hepatocellular carcinoma were reveiwed and analyzed. The resuls were asfollows; 1. The male to female ratio was 3:1 and the age ranged from 31 to 73 years with average age of 54 years.2. Alpha-fetoprotein was positive in 19 out of 38 cases (50%). 3. All lesions were seen as areas of low densityexcept 1 case(0%) of isodensity, and 40 cases (72%) appeared to be solitary while 15(26%) were multifocal. The lowdensity was homogenous in 13 cases (24%) and inhomogenous in 42 cases (76%), and 18 cases out of 42 cases ofinhomogenous low density showed peripheral and/or central nodular enhancement. The additional findings werecontour change in 37 cases (66%), metastasis in 35 cases (63%), splenomegaly in 23 cases (42%) and ascites in 22cases (39%). 4. In postcontrast scans, 41 cases (80%) out of 51 cases showed the change of density after contrastinfusion. The presnece and extent of tumors were better seen after contrast infusion in 30 cases (59%), betterseen before contrast infusion in 11 cases (21%) and no significant difference before and after contrast infusionin 10 cases (20%). 5. The sites of involved lobe were right lobe in 38 cases (68%), left lobe in 5 cases (9%) andboth lobes in 13 case (23%). 6. 35 cases (63%) showed evidence of metastasis to regional lymph nodes, organ ortissuses.

MeSH Terms

alpha-Fetoproteins
Ascites
Carcinoma, Hepatocellular*
Female
Humans
Lymph Nodes
Male
Neoplasm Metastasis
Splenomegaly
alpha-Fetoproteins