Korean J Gastroenterol.  2011 Jun;57(6):384-387. 10.4166/kjg.2011.57.6.384.

Hepatocellular Adenoma Treated with Radiofrequency Ablation in Young Male

Affiliations
  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. drsong@jejunu.ac.kr
  • 2Department of Radiology, Jeju National University School of Medicine, Jeju, Korea.
  • 3Department of Pathology, Jeju National University School of Medicine, Jeju, Korea.

Abstract

No abstract available.


Figure

  • Fig. 1. Radiologic features of hepatocelluar adenoma. (A) Ultrasonographic image showed an approximately 2.4 cm sized hypoechoic nodule in the segment 2. (B) Computed tomography (CT) image on hepatic arterial phase showed well-demarcated and homogeneous enhancing nodule in the segment 2. (C) CT image on delayed phase showed that the nodule became isodense or slightly hyperdense, compared with the liver parenchyma. (D) Three-month follow-up ultrasonographic image showed increased size (3.3 cm). (E) T1-weighted magnetic resonance (MR) image showed a well-defined high signal intensity nodule in the segment 2. (F) T2-weighted MR image showed slightly high signal intensity in nodule, compared with the liver parenchyma. (G) Gd-EOB-DTPA contrast-enhanced T1-weighted MR image on hepatic arterial phase showed homogenous enhancement of the nodule. (H) Gd-EOB-DTPA contrast-enhanced T1-weighted MR image on delayed hepatocyte dominant phase showed no contrast uptake in the hepatic nodule. (I) Ten-month follow-up CT image showed no recurrence after radiofrequency ablation. Gd-EOB-DTPA, Gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid.

  • Fig. 2. Pathological features of hepatocelluar adenoma. (A) The tumor cells were composed of fairly uniform hepatocytes arranged without atypism (Haematoxylin Eosin, ×200). (B) Immunohistochemical stain for CD34 revealed randomly arranged parenchymal vessel (black arrow) (×200). (C) Immunohistochemical stain for CK19 revealed no bile duct or biliary epithelial cells.


Reference

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