Hepatocellular carcinoma with pyrexia: report of a case.
Reported here is a case of an unusual type of hepatocellular carcinoma (HCC). Since this patient with liver mass exhibited continuous pyrexia, an inflammatory pseudotumor or abscess was strongly suspected. Two-phased incremental CT, MR with and without Gd-DTPA administration, and angiography demonstrated peripheral enhancement of the hepatic mass. Histologically, the tumor proved to be HCC with sarcomatoid degeneration. When one encounters a patient with a mass clinically and radiologically mimicking an inflammatory pseudotumor or an abscess, poorly differentiated HCC with sarcomatoid degeneration should be suspected.
Hayashi
T
T
Department of Radiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Honda
H
H
Kaneko
K
K
Fukuya
T
T
Tateshi
Y
Y
Ro
T
T
Matsumata
T
T
Adachi
E
E
Masuda
K
K
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology*; D006104:Granuloma, Plasma Cell / Q000175:diagnosis; D006801:Humans; D008099:Liver / Q000473:pathology; D008100:Liver Abscess / Q000175:diagnosis; D008107:Liver Diseases / Q000175:diagnosis; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed