Well-differentiated Hepatocellular Carcinoma Detected as Hypovascularity by Only CT during Hepatic Arteriography
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概要
- 論文の詳細を見る
We describe a well-differentiated hepatocellular carcinoma (HCC) with alcohol-related liver cirrhosis in a 69-year-old man. Ultrasonography (US) disclosed a 10 mm hypoechoic nodule in segment 4; Sonazoid contrast-enhanced US and gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) revealed no defect in either the Kupffer phase or the hepatobiliary phase. Computed tomography during hepatic arteriography (CTHA), however, revealed a hypovascular nodule, but CT during arterial portography showed no perfusion defect. Histological analysis indicated a well-differentiated HCC. Thus, our detection of well-differentiated HCC disclosed by only CTHA attested to the efficiency of this modality, suggesting that it is more sensitive than Gd-EOB-GTPA-enhanced MRI.
著者
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Imoto Susumu
Department Of Gastroenterology Kobe Asahi Hospital
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Fukuda Katsumi
Department Of Gastroenterology Kobe Asahi Hospital
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NAKASHIMA OSAMU
Department of Pathology and Research Center of Innovative Cancer Therapy of the 21st Century COE Pro
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Nakajima Taisuke
Department Of Gastroenterology Kobe Asahi Hospital
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Yano Hirohisa
Department Of Pathology Kurume University School Of Medicine
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Ando Kenji
Department Of Applied Chemistry Nagoya Institute Of Technology
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Komaki Takamitsu
Department Of Gastroenterology And Hepatology Kinki University School Of Medicine
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Kim Soo
Department Of Advanced Technology Fusion Konkuk University
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Saito Jun
Department Of Biological Regulation School Of Health Science Faculty Of Medicine Tottori University
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Matsuoka Toshiyuki
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Kudo Masatoshi
Department Of Gastroenterology And Hepatology Kinki University Faculty Of Medicine
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Sugimoto Kayo
Department of Pharmacy, Kobe Asahi Hospital, Japan
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Otono Yumi
Department of Gastroenterology, Kobe Asahi Hospital, Japan
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Nakashima Osamu
Department of Pathology, Kurume University School of Medicine, Japan
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Saito Jun
Department of Gastroenterology, Kobe Asahi Hospital, Japan
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Nakajima Taisuke
Department of Gastroenterology, Kobe Asahi Hospital, Japan
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Imoto Susumu
Department of Gastroenterology, Kobe Asahi Hospital, Japan
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Komaki Takamitsu
Department of Internal Medicine, Saiseikai-Tondabayashi Hospital, Japan
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Matsuoka Toshiyuki
Department of Radiology, Osaka City University Medical School, Japan
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