| Fibrolamellar carcinoma |
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| Saturday, 29 May 2010 14:52 |
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History (HX): Abdomen pain male 87y
Findings:Large mass in liver mildly high signal on T2WI and low signal on T1WI with a relatively large central scar and heterogeneous enhancement on post-Gd images. Its central scar does not enhance even on delayed images Diagnostic (DX):Fibrolamellar carcinoma (proved) Discussion: This tumor is a rare subtype of HCC with distinct clinical, pathologic and imaging features. As opposed to HCC most patient’s with (FL-HCC) do not have a history of cirrhosis or other liver disease. FL-HCC is usually large (mean diameter of 13 cm) and have a central fibrous scar |
