J Liver Cancer Search


J Liver Cancer > Volume 14(1); 2014 > Article
Journal of the Korean Liver Cancer Study Group 2014;14(1):53-59.
DOI: https://doi.org/10.17998/jlc.14.1.53    Published online March 31, 2014.
A Case of Hepatocelluar Carcinoma Mimicking Focal Nodular Hyperplasia
Eui Ju Park1, Jae Young Jang1, Soung Won Jeong1, Sae Hwan Lee1, Sang Gyune Kim1, Young Seok Kim1, Hong Soo Kim1, Boo Sung Kim1, So Young Jin2, Ji Young Hwang3
1Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
2Department of Pathology, Soonchunhyang University College of Medicine, Seoul, Korea
3Department of Radiology, Soonchunhyang University College of Medicine, Seoul, Korea
Recently, detection of an incidental hepatic tumor has rapidly increased with the introduction of multi-modality imaging techniques. And then, it is very important to determine whether these tumors are malignant or benign lesions. In some cases, differentiation from other hepatic tumors such as focal nodular hyperplasia or hepatic adenoma and hepatocellular carcinoma can be extremely difficult, both clinical and radiologic finding. Therefore, it is suggested that combination of multi-modality imaging study than using only a single imaging test. Despite advanced imaging studies such as computed tomography (CT), magnetic resonance imaging (MRI), contrast enhanced ultrasonography, and positron emission tomography (PET) showed a high sensitivity and specificity, role of liver biopsy is still remained to confirm the diagnosis. The use of liver biopsy in the diagnosis of hypervascular hepatic tumors is controversial. However if the tumors was shown rapid growth tendency and heterogeneous radiological appearance, liver biopsy or surgical resection should be considered to provide final diagnosis and prompt curative treatment. We report a case of a hepatocelluar carcinoma showing similar radiologic characteristics to focal nodular hyperplasia in patients without high risk factors of hepatocelluar carcinoma.
Key Words: Hepatic tumor; Focal nodular hyperplsasia; Hepatocelluar carcinoma

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