Imaging Negative Hepatic Lesions: A Rare Case of Infiltrative Hepatocellular Carcinoma Diagnosed With Endoscopic Ultrasound.

Autor:	Ugonabo O; Department of Medicine, Marshall University, Joan. C Edwards School of Medicine, Huntington, WV., Mohamed M; Department of Medicine, Marshall University, Joan. C Edwards School of Medicine, Huntington, WV., Frandah W; Department of Medicine, Marshall University, Joan. C Edwards School of Medicine, Huntington, WV., Jones P; Department of Medicine, Marshall University, Joan. C Edwards School of Medicine, Huntington, WV., Joshi T; Department of Medicine, Marshall University, Joan. C Edwards School of Medicine, Huntington, WV.
Jazyk:	angličtina
Zdroj:	ACG case reports journal [ACG Case Rep J] 2023 Jan 05; Vol. 9 (12), pp. e00945. Date of Electronic Publication: 2023 Jan 05 (Print Publication: 2022).
DOI:	10.14309/crj.0000000000000945
Abstrakt:	Hepatocellular carcinoma is a common malignancy with male predominance. It is further classified into different subtypes, among which the infiltrative subtype is the most difficult to diagnose with imaging because of its inherently ill-defined micro nodules involving a segment or entire hepatic parenchyma without a distinguishable mass. Owing to the aggressive nature and decreased survival expectations in most patients with infiltrative hepatocellular carcinoma, liver transplants and surgical resections are not recommended. Our case describes a middle-aged woman presenting with alpha-fetoprotein >20,000 and imagings negative for hepatic mass, thereby necessitating the use of endoscopic ultrasound with fine-needle aspiration. (© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu