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File
language
eng
Attribute
case report
Author
Saitoh, Tsukasa
Sato, Shuichi
Okuyama Keisuke
Hanaoka Takuya
Tatsuya
Ishihara, Shunji
Amano, Yuji
Fujii Toshiyuki
Description
A man in his 60s was introduced for a further examination of chronic hepatitis C virus infection, and two nodules were detected in the liver by abdominal ultrasonography (US). Serum alpha-fetoprotein was elevated (56 ng/ml). The nodules were identified in various imaging examinations (abdominal US, contrast-enhanced US, contrast-enhanced CT and Gd-EOB-DTPA MRI) in segment 8 of the liver, both of which showed a typical contrast-enhanced pattern of hepatocellular carcinoma (HCC). Preoperatively diagnosed as HCC, a surgery was performed on these lesions. The pathological examinations of resected specimens showed of the two nodules were HCC and cholangiocellular carcinoma (ICC), respectively. There are only a few reports for double cancer complicated HCC and ICC at the same time. Then, it should be noted that many of them are preoperatively assumed as multiple HCC. Our case indicates that we need to take into consideration the likelihood of ICC even when multiple HCC are suggested from imaging diagnosis, because the treatment strategies for HCC and ICC are quite different.
Subject
hepatocellular carcinoma (HCC)
cholangiocellular carcinoma (ICC)
double cancer
Journal Title
Shimane journal of medical science
Volume
29
Issue
2
Start Page
87
End Page
92
ISSN
03865959
ISSN(Online)
24332410
Published Date
2013-02-01
NCID
AA00841586
Publisher
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
Gyoseki ID
e18989
OAI-PMH Set
Faculty of Medicine
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