Multifocal hepatocellular carcinoma

Case contributed by Varun Babu , 17 Dec 2017
Diagnosis certain
Changed by Ian Bickle, 17 Dec 2017

Updates to Study Attributes

Findings was changed:

Wavy nodular margins of liver with caudate lobe hypertrophy. Poorly defined infiltrative mass lesion is seen in right lobe of liver which shows arterial vascular recruitment, late arterial enhancement and equilibrium phase washout.

The left portal vein enhances and washes out similarly suggestive of tumour thrombus. The right and main portal vein shows complete bland thrombosis. Chronic partial thrombosis of superior mesenteric vein. SpleenThe spleen is enlarged. Mild ascites. 

Updates to Case Attributes

Body was changed:

Sometimes, hepatocellular carcinoma can have such infiltrative appearances with poor zone of transition with parenchyma that it is difficult to measure the exact size of the lesion. This is one such case where in the tumortumour is aggressive, highly infiltrative in right lobe and has moved to involve the left portal vein before it spreads into the left lobe. 

  • -<p>Sometimes, <a title="Hepatocellular carcinoma" href="/articles/hepatocellular-carcinoma">hepatocellular carcinoma</a> can have such infiltrative appearances with poor zone of transition with parenchyma that it is difficult to measure the exact size of the lesion. This is one such case where in the tumor is aggressive, highly infiltrative in right lobe and has moved to involve the left portal vein before it spreads into the left lobe. </p>
  • +<p>Sometimes, <a href="/articles/hepatocellular-carcinoma">hepatocellular carcinoma</a> can have such infiltrative appearances with poor zone of transition with parenchyma that it is difficult to measure the exact size of the lesion. This is one such case where in the tumour is aggressive, highly infiltrative in right lobe and has moved to involve the left portal vein before it spreads into the left lobe. </p>

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