J Korean Radiol Soc.
2003 Feb;48(2):177-179. 10.3348/jkrs.2003.48.2.177.
Spontaneous Total Necrosis of Hepatocellular Carcinoma
- Affiliations
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- 1Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Korea. choibi@radcom.snu.ac.kr
- 2Department of Pathology, Seoul National University College of Medicine, Korea.
- KMID: 2103721
- DOI: http://doi.org/10.3348/jkrs.2003.48.2.177
Abstract
- We describe a case of spontaneous total necrosis of hepatocellular carcinoma (HCC). Contrast-enhanced CT scanning revealed a hypoattenuating mass during both the hepatic arterial and portal venous phase. During the latter, subtle capsular enhancement was noted. Ultrasonography demonstrated the presence of a hypoechoic mass with a peripheral hyperechoic rim. The patient underwent tumorectomy, and a totally necrotic mass was found. Microscopic examination revealed necrotic tissue with HCC ghost cells, suggesting spontaneous total necrosis of HCC.
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