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Hepatocellular carcinoma, MedPix™ : 3969 - Medical Image Database and Atlas
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Location and Category

Location:
More Like This ? Gastrointestinal
Sublocation:
More Like This ? Liver
Category:
More Like This ? Neoplasm, carcinoma
Find Related Topics: Click on the Location, Sublocation, or Category Links - (above)

TOPIC and DISCUSSION :: Slide Sorter :: Print Topic :: Slide Sorter ::

More Like This ? Hepatocellular carcinoma
Topic 3969 - Created: 2002-07-22 15:22:27-04 - Modified: 2002-08-31 18:57:00-04
ACR Index: 761.321

The most common primary neoplasm of the liver is hepatocellular carcinoma (HCC). In the United States, the most common cause is alcoholic cirrhosis while worldwide, the most common cause is chronic active hepatitis.

Radiographically, the tumor follows three general growth patterns. These are: diffuse infiltrateive, solitary and multinodular. Hemorrhage and necrosis are common findings while calcification may be seen in up to 10% of cases. Characteristic features include invasion of the portal and/or hepatic veins. Metastatic deposits may be seen in the lung, adrenal glands, lymph nodes or bones.

Clinically, 90% of patients will present with elevated serum alpha-fetoprotein. Treatment is surgical, though chemoemboliztion may be performed in individuals with non-resectable disease.

Contributor Credits

Submitted by: Timothy J Biega - Author Info
Affiliation: Uniformed Services University
Approved By: Angela Levy, M.D. - Editor Info
Affiliation: Georgetown University Hospital


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