Ultraschall in Med 2013; 34(4): 388-390
DOI: 10.1055/s-0033-1335588
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Hepatocellular Carcinoma Presenting as a Wandering Abdominal Lump with Atypical CEUS

Ungewöhnliche Manifestation eines hepatozellulären Karzinoms: mobile Raumforderung mit atypischer CEUSH.S. Xu, S.Y. Li, X. Liang, J.D. Shou, K. Xu, Y.T. He
Further Information

Publication History

06 October 2012

15 April 2013

Publication Date:
08 August 2013 (online)

Introduction

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.