ID 106367
Author
Ishikawa, Daichi The Department of Surgery, the University of Tokushima
Utsunomiya, Tohru The Department of Surgery, the University of Tokushima
Arakawa, Yusuke The Department of Surgery, the University of Tokushima KAKEN Search Researchers
Kanamoto, Mami The Department of Surgery, the University of Tokushima KAKEN Search Researchers
Yamada, Shinichiro The Department of Surgery, the University of Tokushima
Asanoma, Michihito The Department of Surgery, the University of Tokushima
Keywords
angiomyolipoma
fatty metamorphosis
well differentiated hepatocellular carcinoma
lipomatosis
Content Type
Journal Article
Description
A large well-differentiated hepatocellular carcinoma (HCC) with fatty change is rare, and to date only a few cases have been reported. Herein, we present a 68-year-old man who developed a well-differentiated HCC with extensive fatty metamorphosis. The patient was referred to our institute because of a rapidly growing tumor in the left lobe of the liver. Ultrasonography showed a hyperechoic lesion with a peripheral hypoechoic area. Dynamic contrast-enhanced computed tomography (CT) scan in all three phases revealed the tumor which showed diffuse low attenuation with internal irregular enhancement. He underwent left lateral segmentectomy at the liver. Histological diagnosis confirmed well-differentiated HCC and the surrounding non-cancerous area was diagnosed as non-alcoholic steatohepatitis. The patient is still alive without recurrence after 17 months of follow-up.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
3-4
Start Page
267
End Page
271
Sort Key
267
Published Date
2013-08
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences