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HOME > J Liver Cancer > Volume 17(1); 2017 > Article
Case Report A Case of Simultaneous Resection of Recurrent Combined Hepatocellular Cholangiocarcinoma and Hypovascular Hepatocellular Carcinoma
Tae Hyung Kim1, Soon Ho Um1, Sang Jung Park1, Seung Woon Park1, Han Ah Lee1, Yeon Seok Seo1, Young Dong Yu2, Dong-Sik Kim2, Joo Young Kim3
Journal of Liver Cancer 2017;17(1):94-99
Published online: March 31, 2017
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1Departments of Internal Medicine, Korea University Anam Hospitial, Seoul, Korea
2Departments of Surgery, Korea University Anam Hospitial, Seoul, Korea
3Departments of Pathology, Korea University Anam Hospitial, Seoul, Korea
Corresponding author:  Soon Ho Um,

Liver cancer is more complex to treat compared to cancers in other organs, since liver function should be considered. In addition, only a few patients can be applied curative treatment due to advanced stage at diagnosis. Therefore, early stage detection is important and has been increased through screening and surveillance programs using image modalities recently. However, it is still difficult to diagnose small or hypovascular hepatocellular carcinoma (HCC) even using advanced image modalties. In particular, hypovascular HCCs do not show arterial contrast enhancement which is a typical finding of HCC on computed tomography (CT) and magnetic resonance imaging (MRI). Those also account for a considerable portion of early HCC. We present 54 yearsold man who had recurrent hypervascular and hypovascular nodules on three phase CT and gadoxetic acid-enhanced MRI. The nodules were removed by surgical resection and confirmed as combined hepatocellular-cholangiocarcinoma and well differentiated HCC respectively.

JLC : Journal of Liver Cancer