Hemorrhagic hepatocellullar carcinoma：a case report and literature review
WU Huanhuan
SUN Haoran
Abstract：Objective To illustrate the CT findings of a case of hemorrhagic hepatocellular carcinoma and to review the literature of differentiation of nontraumatic hemorrhagic liver masses. Method A case of hemorrhagic hepatocellullar carcinoma was analysed and literatures were reviewed. Results Abdominal ultrasound revealed a well -defined heteroechonic area with liquified foci in the right lobe of liver. Precontrast CT scan revealed a heterogeneously dense mass in the right lobe of liver. There was hyperdense and hypodense areas in the mass and irregular soft tissue in the margin of the mass. Contrast enhanced CT scan showed the margin with soft tissue density enhanced in the hepatic arterial phase, but it decreased in the portal phase and delayed phase. The hyperdense and hypodense areas had no enhancement. Histopathology showed poorly differentiated hepatocellular carcinoma invaded the capsule. Immunohistochemistry showed hepatocyte positive and AFP negative. Conclusion Spontaneous bleeding of hepatic tumor is a rare condition. The key to distinguish is to observe the mass comprehensively and to identify the soft tissue carefully in the mass.
Keywords：LiverHepatocellullar carcinomaHemorrhageTomographyX-ray computedContrast enhanced
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 296-298 )