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Findings of Fat Containing Hepatocellular Carcinoma on Contrast-enhanced Ultrasound with Sonazoid: A Case Report
Received date: 2020-01-09
Revised date: 2020-02-24
Online published: 2021-06-28
Contrast-enhanced ultrasound (CEUS) has become more recognized in the diagnosis of hepatocellular carcinoma (HCC). Fat containing HCC often presents as hyper-echoic in gray scale ultrasound and confuses the diagnosis. Here we showed a case of fat containing HCC which was diagnosed by CEUS with Sonazoid, and its histopathologic features, immunohistochemical profile, surgical treatment, patient’s follow up information were also presented.
Key words: Hepatocellular carcinoma; Sonazoid; Contrast agent; Fat-containing
He, MD, PHD Mengna , Zhu, MD Lu , Jiang, MD, PHD Tianan . Findings of Fat Containing Hepatocellular Carcinoma on Contrast-enhanced Ultrasound with Sonazoid: A Case Report[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2021 , 5(2) : 98 -101 . DOI: 10.37015/AUDT.2021.200003
[1] | Ronot M, Purcell Y, Vilgrain V. Hepatocellular carcinoma: current imaging modalities for diagnosis and prognosis. Dig Dis Sci 2019; 64:934-950. |
[2] | European Association For The Study Of The Liver; European Organisation For Research And Treatment Of Cancer. EASL-EORTC clinical practice guidelines: management of hepatocellular carcinoma. J Hepato 2012; 56:908-43. |
[3] | Suzuki K, Okuda Y, Ota M, Kojima F, Horimoto M. Diagnosis of hepatocellular carcinoma nodules in patients with chronic liver disease using contrast-enhanced sonography: usefulness of the combination of arterial- and kupffer-phase enhancement patterns. J Ultrasound Med 2015; 34:423-33. |
[4] | Choi JY, Lee JM, Sirlin CB. CT and MR imaging diagnosis and staging of hepatocellular carcinoma: part II. Extracellular agents, hepatobiliary agents, and ancillary imaging features. Radiology 2014; 273:30-50. |
[5] | Tekath M, Klotz T, Montoriol PF, Joubert-Zakeyh J, Garcier JM, Da Ines D. Fat-containing lesions of the liver: a pictorial essay. Diagn Interv Imaging 2015; 96:201-11. |
[6] | Kutami R, Nakashima Y, Nakashima O, Shiota K, Kojiro M. Pathomorphologic study on the mechanism of fatty change in small hepatocellular carcinoma of humans. J Hepato 2000; 33:282-9. |
[7] | Yang WY, Park HS, Kim YJ, Yu MH, Jung SI, Jeon HJ. Visibility of focal liver lesions: Comparison between kupffer phase of CEUS with sonazoid and hepatobiliary phase of gadoxetic acid-enhanced MRI. J Clin Ultrasound 2017; 45:542-550. |
[8] | Lee J, Jeong WK, Lim HK, Kim AY. Focal Nodular Hyperplasia of the Liver: Contrast-Enhanced Ultrasonographic Features With Sonazoid. J Ultrasound Med 2018; 37:1473-1480. |
[9] | Tochio H, Tamaki E, Imai Y, Iwasaki N, Minowa K, Chung H, Suginoshita Y, Inokuma T, Kudo M. CD68-Positive Cells in Hepatic Angiomyolipoma. Oncology 2017; 92:35-39. |
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