Hepatocellular Carcinoma with a "nodule-in-nodule" Appearance Reflecting an Unusual Dilated Pseudoglandular Structure
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概要
- 論文の詳細を見る
We present a case of hepatocellular carcinoma (HCC), showing an atypical "nodule-in-nodule" appearance on ultrasonogram (US). In general, a "nodule-in-nodule" appearance is found as a hyperechoic tumor containing a hypoechoic nodule. In the present case, however, there was a hyperechoic subnodule in the center of the tumor, which was surrounded by a hypoechoic tumor area. Histologically, the subnodule consisted of moderately differentiated HCC with a markedly dilated pseudoglandular structure, and the outer tumor consisted of well-differentiated HCC with a thin-trabecular pattern. It should be noted that there is a rare HCC with dilated pseudoglandular structure showing the inversed "nodule-in-nodule" appearance.
著者
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Ishida Yusuke
Division Of Gastroenterology Department Of Medicine Kurume University School Of Medicine
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Koga Hironori
Division Of Gastroenterology Department Of Medicine Kurume University School Of Medicine And Liver C
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Sata Michio
Division Of Clinical Nutrition Shiga University Of Medical Science
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Yoshida Hiroshi
Departmen Of Radiology School Of Medicine Asahikawa Medical University
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Kojiro Masamichi
Yanagawa Hospital
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Nagamatsu Hiroaki
Department of Internal Medicine, Yame General Hospital
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