Clinical and Molecular Hepatology

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Korean J Hepatol. 1998;4(4):393-398. Published online January 1, 2000.
A Case of Hepatocellular Carcinoma Mimicking Focal Nodular Hyperplasia
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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