Portal vein thrombus and infiltrative HCC: a pictoral review.
Infiltrative hepatocellular carcinoma (HCC) can be overlooked on imaging. Radiologists should have a high index of suspicion for this entity in patients with chronic liver disease. Careful evaluation of the portal vein may help the radiologist diagnose infiltrative HCC, due to the high association (68%-100%) of portal vein tumor thrombus with this condition. This article will review the imaging findings of infiltrative HCC, particularly its association with portal vein thrombus, and describe imaging pitfalls and mimickers.
Department of Radiology, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA. serenich@einstein.edu.
Christopher P
CP
Sereni
Department of Radiology, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA.
Shuchi K
SK
Rodgers
Department of Radiology, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA.
Cheryl L
CL
Kirby
Department of Radiology, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA.
Igor
I
Goykhman
D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D011169:Portal Vein / Q000000981:diagnostic imaging* / Q000473:pathology; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000473:pathology
Cirrhosis; Infiltrative hepatocellular carcinoma; Portal vein thrombus; Tumor thrombus