Hepatocellular carcinoma: an entity needed to be differentiated
Images in Clinical Medicine

Hepatocellular carcinoma: an entity needed to be differentiated

Tianyi Chi, Xin Lu

Division of Liver Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China

Correspondence to: Tianyi Chi, MD, PhD. Division of Liver Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, 1st Xuaifuyuan, Wangfujing street, Dongcheng district, Beijing 100730, China. Email: chity02@163.com.

Submitted Aug 31, 2016. Accepted for publication Sep 05, 2016.

doi: 10.21037/hbsn.2016.09.06


A 75-year-old man presented with a liver mass detected by abdominal ultrasonography for health check-up. The size of the mass increased progressively within 3-month duration, and the patient was admitted to our department for treatment. He had a 12-year past medical history of diabetes mellitus, with no records of any hepatitis and alcohol abuse. The physical examination was unremarkable. Laboratory investigations, alpha fetal protein, and antigen carbohydrate 19-9 were within normal limits. Unenhanced computed tomography of the abdomen showed a well-defined hypodense nodule, measuring 3.2 cm in diameter, in posterior segment of the right hepatic lobe (Panel A). After administration of contrast medium, the lesion was seen as heterogeneously hyperattenuating during the arterial phase (Panel B), portal-venous (Panel C) and equilibrium phases (Panel D). A partial hepatectomy was performed for suspected malignant transformation. Microscopic examination of the excised specimen confirmed the diagnosis of high-moderately differentiated hepatocellular carcinoma. The postoperative course was unremarkable. The patient was advised to return for a regular follow-up visit.


Acknowledgements

None.


Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Informed Consent: Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images.

Cite this article as: Chi T, Lu X. Hepatocellular carcinoma: an entity needed to be differentiated. Hepatobiliary Surg Nutr 2016;5(5):451-452. doi: 10.21037/hbsn.2016.09.06