Korean J Hepatol > Volume 4(4); 1998 > Article
The Korean Journal of Hepatology 1998;4(4): 393-398.
국소결절성 과형성이 의심되었던 간세포암 1례 (A Case of Hepatocellular Carcinoma Mimicking Focal Nodular Hyperplasia )
A Case of Hepatocellular Carcinoma Mimicking Focal Nodular Hyperplasia
Young Eun Joo, Young Ho Seo, Wan Sik Lee, Nam Jin Kim, Hyun Taek Ahn, Kang Seok Seo, Hyun Soo Kim, Jong Sun Rew, Sang Woo Juhng and Sei Jong Kim
Department of Internal Medicinee and Pathology *, Chonnam National University Medical School, Kwangju, Korea
ABSTRACT
Distinction of hepatocellular carcinoma from benign entities such as focal nodular hyperplasia is important because failure of prompt diagnosis could result in a missed opportunity for curative resection. The differential deagnosis, especially among focal nodular hyperplasia and adenoma and even hepatocellualr carcinoma, may ve difficult; and when using inly a single imaging method, the diagnosis is often equivocal. Therefore, a combination of imaging modalities is preferred. For focal nodular hyperplasia, the combination of computerized tomography (CT ), magnetic resonance imaging (MRI), and radionuclide scintigraphy showed a high sensitivity and specificity. But , histologic examination is required for the differential diagnos is of hepatic mass . We report a case of hepat ocellular carcinoma without clinical evidence of malignancy or serum elevat ion of tumor marker , that mimicked the CT , MRI, and radionuclide scint igraphic appearance of focal nodular hyperplasia. (Korean J Hepatol 1998;4:393 398)
KeyWords: Focal nodular hyperplasia, Hepatocellular carcinoma

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