Hepatocellular Carcinoma Presenting as a Wandering Abdominal Lump with Atypical CEUSUngewöhnliche Manifestation eines hepatozellulären Karzinoms: mobile Raumforderung mit atypischer CEUS
06 October 2012
15 April 2013
08 August 2013 (online)
Hepatocellular carcinoma (HCC) is one of the most common malignant tumors occurring worldwide, most of which are secondary to either viral hepatitis (type B or C) or cirrhosis with variant causes. Some of the clinical signs and symptoms include jaundice, ascites, weight loss, and abdominal pain. Patients with rising alpha-fetoprotein and the above-mentioned situations should be considered with a higher suspicion for HCC. In these cases, various imaging modalities, including CT, MRI and ultrasonography, have been used for diagnoses, and often include the application of intravenous contrast agents. Contrast-enhanced ultrasound (CEUS) has been recommended for several applications by the guidelines of several societies and is currently accepted as a reliable imaging method for the diagnosis and evaluation of HCC (Claudon M et al. Ultraschall in Med, Online Publication: 2012: DIO 10.1055/s-0032-1325499). The following is a report of HCC with rare clinical and CEUS presentations.