Difficult Diagnosis of a Patient with a Hypovascular Hepatic Tumor—A Case Report—
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- KAMIDANI Ryo
- Departments of Surgery
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- KIRIYAMA Syunya
- Departments of Surgery
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- IKAWA Aiko
- Departments of Surgery
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- SANO Bun
- Departments of Surgery
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- ADACHI Takahito
- Departments of Surgery
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- SHIROKO Takashi
- Departments of Surgery
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- OKAMOTO Kiyohisa
- Pathology, Takayama Red Cross Hospital
Bibliographic Information
- Other Title
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- 診断に苦慮した肝乏血性腫瘍の1例
- 症例 診断に苦慮した肝乏血性腫瘍の1例
- ショウレイ シンダン ニ クリョ シタ カンボウケツセイ シュヨウ ノ 1レイ
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Description
<p>A 64-year-old man was referred to our hospital for further investigation of a growing hepatic tumor of 1.5 cm in diameter that was located in segment 7. It was difficult to make a definite diagnosis of a dysplastic nodule or an early-stage hepatocellular carcinoma by abdominal sonography and enhanced computed tomography. A Gd-EOB-DTPA-enhanced MRI scan showed poor uptake of contrast agent in the hepatobiliary phase, but no signal change at a chemical phase shift. Nevertheless, hepatectomy of the posterior segment was performed because a malignant tumor could not be ruled out. The tumor was an unclear nodule without a coating and was histologically composed of a palisade structure with no atypical or high-density cells. A low-grade dysplastic nodule was diagnosed. Because a patient's liver with alcoholic change tends to have dysplastic nodules, it is very difficult to diagnose them. We think there is some possibility that a fat-containing evaluation such as a chemical phase shift is useful. It is also necessary to perform a comprehensive evaluation based on the diameter of the tumor, the clinical course, and multiple imaging modalities to make a diagnosis.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 81 (2), 301-306, 2020
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390285300186154752
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- NII Article ID
- 130007893461
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030288642
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed