A Case of Early Hepatocellular Carcinoma with High Grade Dysplastic Nodule |
Jae Young Jang 1, Yun Soo Kim1, Young Kuk Cheon1, Young Seok Kim1, Jong Ho Moon1, Young Deok Cho1, So Young Jin2, Chan Sup Shim1, Boo Seong Kim1 |
1Department of Internal Medicine, Institute for Digestive Disease, SoonChunHyang University College of Medicine 2Department of Pathology, SoonChunHyang University College of Medicine |
Correspondence:
Yun Soo Kim, Email: kimyssch@hotmail.com |
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Abstract |
A 47-year-old male was referred for evaluation of a hepatic nodular lesion incidentally found on routine check up. He had no history of previous liver disease. Physical examination revealed no abonormality. Laboratory findings showed that HBsAG and anti-HCV were negative. Serum AST was minimally elevated and serum AFP was within normal range. Abdominal ultrasonogram showed a 1.3 cm-sized, hypoechoic nodule with peripheral halo in segment 5 of liver. Spiral CT revealed a well enhancing nodule in arterial phase, which could not be detected in portal and delayed phase. Liver biopsy showed well-differenciated hepatocellular carcinoma on the background of high grade dysplastic nodule. Surgical resection was recommended, however he refused and discharged. |
Key Words:
Early hepatocellular carcinoma; High grade dysplastic nodule |
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