간경변 환자에서 간세포암으로 오인된 전이성 간암
Metastatic Liver Cancer Mimicking Hepatocellular Carcinoma in Alcoholic Cirrhosis

Journal of Liver Cancer 2014년 14권 1호 p.41 ~ p.45

김희연(Kim Hee-Yeon) - 가톨릭대학교 의과대학 내과학교실
김창욱(Kim Chang-Wook) - 가톨릭대학교 의과대학 내과학교실
이창돈(Lee Chang-Don) - 가톨릭대학교 의과대학 내과학교실
이수림(Lee Su-Lim) - 가톨릭대학교 의과대학 영상의학교실
원유동(Won Yoo-Dong) - 가톨릭대학교 의과대학 영상의학교실
김예일(Kim Ye-Il) - 가톨릭대학교 의과대학 영상의학교실

Abstract

A 50-year-old male patient visited for further evaluation of arterial enhancing nodules in cirrhotic liver. Computed tomography (CT) scan revealed vaguely nodular, arterial phaseenhancing nodules at segment 8 of the liver with cirrhotic background. Magnetic resonance imaging (MRI) showed four small nodules with early work-up enhancement in arterial phase and rapid washout. Angiography showed hypervascular nodular stains. Hepatocellular carcinoma (HCC) was diagnosed according to the noninvasive diagnostic criteria for HCC. A positron emission tomography (PET) scan was done for staging work-up, and increased uptake was noted in rectum. Subsequently, sigmoidoscopy revealed an ulceroinfiltrative lesion encircling the lumen of the rectosigmoid junction. Laparoscopic low anterior resection with wedge resection of liver was done, suspecting concurrent primary tumors of the rectum and liver. Pathologic examination demonstrated moderately differentiated adenocarcinoma in both rectum and liver, suggesting metastatic rectal carcinoma. The present case indicates that metastatic carcinoma as well as HCC should be considered in the differential diagnosis of irregularly enhancing small nodules even in high-risk patient group for HCC.

키워드

Carcinoma, Hepatocellular, Metastases, Neoplasm, Cirrhosis, Liver
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Metastatic carcinoma as well as HCC should be considered in the differential diagnosis of irregularly enhancing small nodules even in high-risk patient group for HCC.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드