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Case of the Month

July 2014

Patient Data: Male patient 60 years old

Clinical Info: Patient was a hepatitis patient and came for a control examination


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There is a new developed liver lesion next to the gallbladder


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Another image of the same liver lesion


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The lesion impresses the gallbladder


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The mass is vascularized


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Another image with color doopler showing the mass is vascularized


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There is an irregular liver contour


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Another image of the irregular liver contour


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The spleen is enlarged


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Transverse image of the enlarged spleen


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The irregular liver contour and the enlarged spleen are suggestive for liver cirrhosis and portal hyperetension. If you look at the CT scan the collateral veins in the form of esophagus varices are also suggestive for portal hypertension. Any new liver lesion that develops in these patients is a HCC umtil proven otherwise. Unfortunately for the patient the performed biopsy of the lesion proved it to be a HCC

For more cases of HCC see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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