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Journal of the Korean Liver Cancer Study Group 2004;4(1):42-45.
Published online June 30, 2004.
A Case of High-grade Dysplastic nodule Mimicking Well-differentiated Hepatocellular Carcinoma
Dong Hee Kim, Seung Woon Paik, Moon Seok Choi, Joon Hyuk Lee, Kwang Cheol Koh, Byung Cheol Yoo
Division of Gastroenterology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence:  Seung Woon Paik,
Email: swpaik@samsung.co.kr
Abstract
The differential diagnosis of small nodular lesion arising in cirrhosis is basically restricted to early hepatocellular carcinoma(HCC) and non-malignant macronodules including large regenerative, low-and high-grade dysplastic nodules. Especially, differentiation of HCC from high-grade dysplasia is a well-recognized problem. Here we describe an unusual case of high-grade dysplasia which mimicks HCC. A 3 cm, hepatic mass was detected in a 47-year-old man with chronic hepatitis during abdominal sonography. Differential diagnosis was difficult with laboratory and radiological studies. It was proved to be a high-grade dysplasia after surgical resection.
Key Words: High-grade dysplastic nodule; Hepatocellular carcinoma
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