title: Surgical Resection for Hepatocellular Carcinoma with Cardiac Cirrhosis after the Fontan Procedure.
abstract: A 29-year-old woman who underwent the Fontan procedure at 10 years of age had an incidental finding of liver masses on abdominal ultrasonography. Subsequent gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid magnetic resonance imaging showed a 15 mm hypervascular mass with washout in the hepatobiliary phase in liver segment 4 (S4), and an 18 mm hypervascular mass without washout in the hepatobiliary phase in liver segment 2 (S2). The S2 liver mass was pathologically diagnosed to be a regenerative nodule by an ultrasound-guided needle biopsy, and the S4 liver mass was pathologically diagnosed as a poorly differentiated hepatocellular carcinoma after partial hepatectomy.
authors.affiliation: Department of Internal Medicine, Hiroshima City Hospital, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Takuma
authors.forename: Yuji
authors.initials: Y
authors.lastname: Fukada
authors.forename: Shota
authors.initials: S
authors.lastname: Iwadou
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Miyatake
authors.forename: Shuji
authors.initials: S
authors.lastname: Uematsu
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Okamoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Sato
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Matsukawa
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Shiozaki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kamada
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Morito
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Araki
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D003287:Contrast Media; D005260:Female; D005355:Fibrosis; D018729:Fontan Procedure; D019786:Gadolinium DTPA; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D009206:Myocardium / Q000473:pathology*; D014463:Ultrasonography
chemical_list: D003287:Contrast Media; C073590:gadolinium ethoxybenzyl DTPA; D019786:Gadolinium DTPA