Sandbox:Hepatocellular carcinoma- Differential: Difference between revisions

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*[[Cholangiocarcinoma]]
*[[Cholangiocarcinoma]]
*Confluent [[fibrosis]]<ref name="pmid8511316">{{cite journal |vauthors=Ohtomo K, Baron RL, Dodd GD, Federle MP, Miller WJ, Campbell WL, Confer SR, Weber KM |title=Confluent hepatic fibrosis in advanced cirrhosis: appearance at CT |journal=Radiology |volume=188 |issue=1 |pages=31–5 |year=1993 |pmid=8511316 |doi=10.1148/radiology.188.1.8511316 |url=}}</ref><ref name="HussainSyed2004">{{cite journal|last1=Hussain|first1=Hero K.|last2=Syed|first2=Ibrahim|last3=Nghiem|first3=Hanh V.|last4=Johnson|first4=Timothy D.|last5=Carlos|first5=Ruth C.|last6=Weadock|first6=William J.|last7=Francis|first7=Isaac R.|title=T2-weighted MR Imaging in the Assessment of Cirrhotic Liver|journal=Radiology|volume=230|issue=3|year=2004|pages=637–644|issn=0033-8419|doi=10.1148/radiol.2303020921}}</ref><ref name="pmid8234718">{{cite journal |vauthors=Ohtomo K, Baron RL, Dodd GD, Federle MP, Ohtomo Y, Confer SR |title=Confluent hepatic fibrosis in advanced cirrhosis: evaluation with MR imaging |journal=Radiology |volume=189 |issue=3 |pages=871–4 |year=1993 |pmid=8234718 |doi=10.1148/radiology.189.3.8234718 |url=}}</ref><ref name="pmid19380559">{{cite journal |vauthors=Brancatelli G, Baron RL, Federle MP, Sparacia G, Pealer K |title=Focal confluent fibrosis in cirrhotic liver: natural history studied with serial CT |journal=AJR Am J Roentgenol |volume=192 |issue=5 |pages=1341–7 |year=2009 |pmid=19380559 |doi=10.2214/AJR.07.2782 |url=}}</ref><ref name="pmid15050225">{{cite journal |vauthors=Kelekis NL, Makri E, Vassiou A, Patsiaoura K, Spiridakis M, Dalekos GN |title=Confluent hepatic fibrosis as the presenting imaging sign in nonadvanced alcoholic cirrhosis |journal=Clin Imaging |volume=28 |issue=2 |pages=124–7 |year=2004 |pmid=15050225 |doi=10.1016/S0899-7071(03)00243-2 |url=}}</ref><ref name="pmid9880618">{{cite journal |vauthors=Ooi CG, Chan KL, Peh WC, Saing H, Ngan H |title=Confluent hepatic fibrosis in monozygotic twins |journal=Pediatr Radiol |volume=29 |issue=1 |pages=53–5 |year=1999 |pmid=9880618 |doi=10.1007/s002470050534 |url=}}</ref><ref name="pmid23688409">{{cite journal |vauthors=Park YS, Lee CH, Kim BH, Lee J, Choi JW, Kim KA, Ahn JH, Park CM |title=Using Gd-EOB-DTPA-enhanced 3-T MRI for the differentiation of infiltrative hepatocellular carcinoma and focal confluent fibrosis in liver cirrhosis |journal=Magn Reson Imaging |volume=31 |issue=7 |pages=1137–42 |year=2013 |pmid=23688409 |doi=10.1016/j.mri.2013.01.011 |url=}}</ref>
*Confluent [[fibrosis]]<ref name="pmid8511316">{{cite journal |vauthors=Ohtomo K, Baron RL, Dodd GD, Federle MP, Miller WJ, Campbell WL, Confer SR, Weber KM |title=Confluent hepatic fibrosis in advanced cirrhosis: appearance at CT |journal=Radiology |volume=188 |issue=1 |pages=31–5 |year=1993 |pmid=8511316 |doi=10.1148/radiology.188.1.8511316 |url=}}</ref><ref name="HussainSyed2004">{{cite journal|last1=Hussain|first1=Hero K.|last2=Syed|first2=Ibrahim|last3=Nghiem|first3=Hanh V.|last4=Johnson|first4=Timothy D.|last5=Carlos|first5=Ruth C.|last6=Weadock|first6=William J.|last7=Francis|first7=Isaac R.|title=T2-weighted MR Imaging in the Assessment of Cirrhotic Liver|journal=Radiology|volume=230|issue=3|year=2004|pages=637–644|issn=0033-8419|doi=10.1148/radiol.2303020921}}</ref><ref name="pmid8234718">{{cite journal |vauthors=Ohtomo K, Baron RL, Dodd GD, Federle MP, Ohtomo Y, Confer SR |title=Confluent hepatic fibrosis in advanced cirrhosis: evaluation with MR imaging |journal=Radiology |volume=189 |issue=3 |pages=871–4 |year=1993 |pmid=8234718 |doi=10.1148/radiology.189.3.8234718 |url=}}</ref><ref name="pmid19380559">{{cite journal |vauthors=Brancatelli G, Baron RL, Federle MP, Sparacia G, Pealer K |title=Focal confluent fibrosis in cirrhotic liver: natural history studied with serial CT |journal=AJR Am J Roentgenol |volume=192 |issue=5 |pages=1341–7 |year=2009 |pmid=19380559 |doi=10.2214/AJR.07.2782 |url=}}</ref><ref name="pmid15050225">{{cite journal |vauthors=Kelekis NL, Makri E, Vassiou A, Patsiaoura K, Spiridakis M, Dalekos GN |title=Confluent hepatic fibrosis as the presenting imaging sign in nonadvanced alcoholic cirrhosis |journal=Clin Imaging |volume=28 |issue=2 |pages=124–7 |year=2004 |pmid=15050225 |doi=10.1016/S0899-7071(03)00243-2 |url=}}</ref><ref name="pmid9880618">{{cite journal |vauthors=Ooi CG, Chan KL, Peh WC, Saing H, Ngan H |title=Confluent hepatic fibrosis in monozygotic twins |journal=Pediatr Radiol |volume=29 |issue=1 |pages=53–5 |year=1999 |pmid=9880618 |doi=10.1007/s002470050534 |url=}}</ref><ref name="pmid23688409">{{cite journal |vauthors=Park YS, Lee CH, Kim BH, Lee J, Choi JW, Kim KA, Ahn JH, Park CM |title=Using Gd-EOB-DTPA-enhanced 3-T MRI for the differentiation of infiltrative hepatocellular carcinoma and focal confluent fibrosis in liver cirrhosis |journal=Magn Reson Imaging |volume=31 |issue=7 |pages=1137–42 |year=2013 |pmid=23688409 |doi=10.1016/j.mri.2013.01.011 |url=}}</ref>
*[[Focal nodular hyperplasia]]<ref name="pmid11906867">{{cite journal |vauthors=Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R |title=Large regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: CT and MR imaging findings with clinicopathologic correlation |journal=AJR Am J Roentgenol |volume=178 |issue=4 |pages=877–83 |year=2002 |pmid=11906867 |doi=10.2214/ajr.178.4.1780877 |url=}}</ref><ref name="pmid12110714">{{cite journal |vauthors=Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R |title=Benign regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlation |journal=Radiographics |volume=22 |issue=4 |pages=847–62 |year=2002 |pmid=12110714 |doi=10.1148/radiographics.22.4.g02jl17847 |url=}}</ref><ref name="NewerlaSchaeffer2012">{{cite journal|last1=Newerla|first1=Caroline|last2=Schaeffer|first2=Fabienne|last3=Terracciano|first3=Luigi|last4=Hohmann|first4=Joachim|title=Multiple FNH-Like Lesions in a Patient with Chronic Budd-Chiari Syndrome: Gd-EOB-Enhanced MRI and BR1 CEUS Findings|journal=Case Reports in Radiology|volume=2012|year=2012|pages=1–5|issn=2090-6862|doi=10.1155/2012/685486}}</ref><ref name="pmid22618456">{{cite journal |vauthors=Yoneda N, Matsui O, Kitao A, Kita R, Kozaka K, Koda W, Kobayashi S, Gabata T, Ikeda H, Sato Y, Nakanuma Y |title=Hepatocyte transporter expression in FNH and FNH-like nodule: correlation with signal intensity on gadoxetic acid enhanced magnetic resonance images |journal=Jpn J Radiol |volume=30 |issue=6 |pages=499–508 |year=2012 |pmid=22618456 |doi=10.1007/s11604-012-0085-4 |url=}}</ref>
*[[Focal nodular hyperplasia]]
*Focal fat sparing and deposit on liver<ref name="MatsuiKadoya1995">{{cite journal|last1=Matsui|first1=O|last2=Kadoya|first2=M|last3=Takahashi|first3=S|last4=Yoshikawa|first4=J|last5=Gabata|first5=T|last6=Takashima|first6=T|last7=Kitagawa|first7=K|title=Focal sparing of segment IV in fatty livers shown by sonography and CT: correlation with aberrant gastric venous drainage.|journal=American Journal of Roentgenology|volume=164|issue=5|year=1995|pages=1137–1140|issn=0361-803X|doi=10.2214/ajr.164.5.7717220}}</ref><ref name="pmid10101644">{{cite journal |vauthors=Itai Y, Matsui O |title='Nonportal' splanchnic venous supply to the liver: abnormal findings on CT, US and MRI |journal=Eur Radiol |volume=9 |issue=2 |pages=237–43 |year=1999 |pmid=10101644 |doi=10.1007/s003300050661 |url=}}</ref><ref name="NicolauBr�2004">{{cite journal|last1=Nicolau|first1=C.|last2=Br�|first2=C.|title=Focal liver lesions: evaluation with contrast-enhanced ultrasonography|journal=Abdominal Imaging|volume=29|issue=3|year=2004|issn=0942-8925|doi=10.1007/s00261-003-0117-8}}</ref><ref name="pmid17102041">{{cite journal |vauthors=Hamer OW, Aguirre DA, Casola G, Lavine JE, Woenckhaus M, Sirlin CB |title=Fatty liver: imaging patterns and pitfalls |journal=Radiographics |volume=26 |issue=6 |pages=1637–53 |year=2006 |pmid=17102041 |doi=10.1148/rg.266065004 |url=}}</ref><ref name="pmid16100085">{{cite journal |vauthors=Hamer OW, Aguirre DA, Casola G, Sirlin CB |title=Imaging features of perivascular fatty infiltration of the liver: initial observations |journal=Radiology |volume=237 |issue=1 |pages=159–69 |year=2005 |pmid=16100085 |doi=10.1148/radiol.2371041580 |url=}}</ref>
*Focal fat sparing and deposit on liver<ref name="MatsuiKadoya1995">{{cite journal|last1=Matsui|first1=O|last2=Kadoya|first2=M|last3=Takahashi|first3=S|last4=Yoshikawa|first4=J|last5=Gabata|first5=T|last6=Takashima|first6=T|last7=Kitagawa|first7=K|title=Focal sparing of segment IV in fatty livers shown by sonography and CT: correlation with aberrant gastric venous drainage.|journal=American Journal of Roentgenology|volume=164|issue=5|year=1995|pages=1137–1140|issn=0361-803X|doi=10.2214/ajr.164.5.7717220}}</ref><ref name="pmid10101644">{{cite journal |vauthors=Itai Y, Matsui O |title='Nonportal' splanchnic venous supply to the liver: abnormal findings on CT, US and MRI |journal=Eur Radiol |volume=9 |issue=2 |pages=237–43 |year=1999 |pmid=10101644 |doi=10.1007/s003300050661 |url=}}</ref><ref name="NicolauBr�2004">{{cite journal|last1=Nicolau|first1=C.|last2=Br�|first2=C.|title=Focal liver lesions: evaluation with contrast-enhanced ultrasonography|journal=Abdominal Imaging|volume=29|issue=3|year=2004|issn=0942-8925|doi=10.1007/s00261-003-0117-8}}</ref><ref name="pmid17102041">{{cite journal |vauthors=Hamer OW, Aguirre DA, Casola G, Lavine JE, Woenckhaus M, Sirlin CB |title=Fatty liver: imaging patterns and pitfalls |journal=Radiographics |volume=26 |issue=6 |pages=1637–53 |year=2006 |pmid=17102041 |doi=10.1148/rg.266065004 |url=}}</ref><ref name="pmid16100085">{{cite journal |vauthors=Hamer OW, Aguirre DA, Casola G, Sirlin CB |title=Imaging features of perivascular fatty infiltration of the liver: initial observations |journal=Radiology |volume=237 |issue=1 |pages=159–69 |year=2005 |pmid=16100085 |doi=10.1148/radiol.2371041580 |url=}}</ref>
*[[Gallbladder cancer]]
*[[Gallbladder cancer]]
*[[Hereditary hemorrhagic telangiectasia]]<ref name="MemeoStabile Ianora2004">{{cite journal|last1=Memeo|first1=M.|last2=Stabile Ianora|first2=A. A.|last3=Scardapane|first3=A.|last4=Buonamico|first4=P.|last5=Sabbà|first5=C.|last6=Angelelli|first6=G.|title=Hepatic involvement in hereditary hemorrhagic telangiectasia:|journal=Abdominal Imaging|volume=29|issue=2|year=2004|pages=211–220|issn=0942-8925|doi=10.1007/s00261-003-0101-3}}</ref><ref name="pmid18203937">{{cite journal |vauthors=Siddiki H, Doherty MG, Fletcher JG, Stanson AW, Vrtiska TJ, Hough DM, Fidler JL, McCollough CH, Swanson KL |title=Abdominal findings in hereditary hemorrhagic telangiectasia: pictorial essay on 2D and 3D findings with isotropic multiphase CT |journal=Radiographics |volume=28 |issue=1 |pages=171–84 |year=2008 |pmid=18203937 |doi=10.1148/rg.281075037 |url=}}</ref><ref name="pmid8816509">{{cite journal |vauthors=Oliver JH, Baron RL |title=Helical biphasic contrast-enhanced CT of the liver: technique, indications, interpretation, and pitfalls |journal=Radiology |volume=201 |issue=1 |pages=1–14 |year=1996 |pmid=8816509 |doi=10.1148/radiology.201.1.8816509 |url=}}</ref><ref name="pmid9169697">{{cite journal |vauthors=Yu JS, Kim KW, Sung KB, Lee JT, Yoo HS |title=Small arterial-portal venous shunts: a cause of pseudolesions at hepatic imaging |journal=Radiology |volume=203 |issue=3 |pages=737–42 |year=1997 |pmid=9169697 |doi=10.1148/radiology.203.3.9169697 |url=}}</ref><ref name="WuSaluja2006">{{cite journal|last1=Wu|first1=Jim S.|last2=Saluja|first2=Sanjay|last3=Garcia-Tsao|first3=Guadalupe|last4=Chong|first4=Alice|last5=Henderson|first5=Katherine J.|last6=White|first6=Robert I.|title=Liver Involvement in Hereditary Hemorrhagic Telangiectasia: CT and Clinical Findings Do Not Correlate in Symptomatic Patients|journal=American Journal of Roentgenology|volume=187|issue=4|year=2006|pages=W399–W405|issn=0361-803X|doi=10.2214/AJR.05.1068}}</ref>
*[[Hereditary hemorrhagic telangiectasia]]<ref name="MemeoStabile Ianora2004">{{cite journal|last1=Memeo|first1=M.|last2=Stabile Ianora|first2=A. A.|last3=Scardapane|first3=A.|last4=Buonamico|first4=P.|last5=Sabbà|first5=C.|last6=Angelelli|first6=G.|title=Hepatic involvement in hereditary hemorrhagic telangiectasia:|journal=Abdominal Imaging|volume=29|issue=2|year=2004|pages=211–220|issn=0942-8925|doi=10.1007/s00261-003-0101-3}}</ref><ref name="pmid18203937">{{cite journal |vauthors=Siddiki H, Doherty MG, Fletcher JG, Stanson AW, Vrtiska TJ, Hough DM, Fidler JL, McCollough CH, Swanson KL |title=Abdominal findings in hereditary hemorrhagic telangiectasia: pictorial essay on 2D and 3D findings with isotropic multiphase CT |journal=Radiographics |volume=28 |issue=1 |pages=171–84 |year=2008 |pmid=18203937 |doi=10.1148/rg.281075037 |url=}}</ref><ref name="pmid8816509">{{cite journal |vauthors=Oliver JH, Baron RL |title=Helical biphasic contrast-enhanced CT of the liver: technique, indications, interpretation, and pitfalls |journal=Radiology |volume=201 |issue=1 |pages=1–14 |year=1996 |pmid=8816509 |doi=10.1148/radiology.201.1.8816509 |url=}}</ref><ref name="pmid9169697">{{cite journal |vauthors=Yu JS, Kim KW, Sung KB, Lee JT, Yoo HS |title=Small arterial-portal venous shunts: a cause of pseudolesions at hepatic imaging |journal=Radiology |volume=203 |issue=3 |pages=737–42 |year=1997 |pmid=9169697 |doi=10.1148/radiology.203.3.9169697 |url=}}</ref><ref name="WuSaluja2006">{{cite journal|last1=Wu|first1=Jim S.|last2=Saluja|first2=Sanjay|last3=Garcia-Tsao|first3=Guadalupe|last4=Chong|first4=Alice|last5=Henderson|first5=Katherine J.|last6=White|first6=Robert I.|title=Liver Involvement in Hereditary Hemorrhagic Telangiectasia: CT and Clinical Findings Do Not Correlate in Symptomatic Patients|journal=American Journal of Roentgenology|volume=187|issue=4|year=2006|pages=W399–W405|issn=0361-803X|doi=10.2214/AJR.05.1068}}</ref>
*[[Inflammation|Inflammatory]] pseudotumors<ref name="ItaiMatsui1997">{{cite journal|last1=Itai|first1=Y|last2=Matsui|first2=O|title=Blood flow and liver imaging.|journal=Radiology|volume=202|issue=2|year=1997|pages=306–314|issn=0033-8419|doi=10.1148/radiology.202.2.9015047}}</ref><ref name="MathieuVasile1985"><nowiki>{{cite</nowiki></ref><ref name="pmid3881794">{{cite journal |vauthors=Mathieu D, Vasile N, Dibie C, Grenier P |title=Portal cavernoma: dynamic CT features and transient differences in hepatic attenuation |journal=Radiology |volume=154 |issue=3 |pages=743–8 |year=1985 |pmid=3881794 |doi=10.1148/radiology.154.3.3881794 |url=}}</ref><ref>Itai Y, Murata S, Saida Y, Minami M. Central zone and peripheral zone of the liver based on portal and hepatic arterial blood supply: imaging approach to deformity of cirrhotic liver. Jpn J Clin Radiol. 1994;39:1553–1559</ref>
*[[Inflammation|Inflammatory]] pseudotumors<ref name="ItaiMatsui1997">{{cite journal|last1=Itai|first1=Y|last2=Matsui|first2=O|title=Blood flow and liver imaging.|journal=Radiology|volume=202|issue=2|year=1997|pages=306–314|issn=0033-8419|doi=10.1148/radiology.202.2.9015047}}</ref><ref name="MathieuVasile1985"><nowiki>{{cite</nowiki></ref><ref name="pmid3881794">{{cite journal |vauthors=Mathieu D, Vasile N, Dibie C, Grenier P |title=Portal cavernoma: dynamic CT features and transient differences in hepatic attenuation |journal=Radiology |volume=154 |issue=3 |pages=743–8 |year=1985 |pmid=3881794 |doi=10.1148/radiology.154.3.3881794 |url=}}</ref><ref>Itai Y, Murata S, Saida Y, Minami M. Central zone and peripheral zone of the liver based on portal and hepatic arterial blood supply: imaging approach to deformity of cirrhotic liver. Jpn J Clin Radiol. 1994;39:1553–1559</ref>
*[[Hemangioma|Liver hemangioma]]<ref name="KimLee2011">{{cite journal|last1=Kim|first1=Tae Kyoung|last2=Lee|first2=Kyoung Ho|last3=Jang|first3=Hyun–Jung|last4=Haider|first4=Masoom A.|last5=Jacks|first5=Lindsay M.|last6=Menezes|first6=Ravi J.|last7=Park|first7=Seong Ho|last8=Yazdi|first8=Leyla|last9=Sherman|first9=Morris|last10=Khalili|first10=Korosh|title=Analysis of Gadobenate Dimeglumine–enhanced MR Findings for Characterizing Small (1–2-cm) Hepatic Nodules in Patients at High Risk for Hepatocellular Carcinoma|journal=Radiology|volume=259|issue=3|year=2011|pages=730–738|issn=0033-8419|doi=10.1148/radiol.11101549}}</ref><ref name="pmid11833870">{{cite journal |vauthors=Kim JH, Kim TK, Kim BS, Eun HW, Kim PN, Lee MG, Ha HK |title=Enhancement of hepatic hemangiomas with levovist on coded harmonic angiographic ultrasonography |journal=J Ultrasound Med |volume=21 |issue=2 |pages=141–8 |year=2002 |pmid=11833870 |doi= |url=}}</ref><ref name="BranniganBurns2004">{{cite journal|last1=Brannigan|first1=Margot|last2=Burns|first2=Peter N.|last3=Wilson|first3=Stephanie R.|title=Blood Flow Patterns in Focal Liver Lesions at Microbubble-enhanced US|journal=RadioGraphics|volume=24|issue=4|year=2004|pages=921–935|issn=0271-5333|doi=10.1148/rg.244035158}}</ref><ref name="pmid16641791">{{cite journal |vauthors=Kim TK, Jang HJ, Wilson SR |title=Benign liver masses: imaging with microbubble contrast agents |journal=Ultrasound Q |volume=22 |issue=1 |pages=31–9 |year=2006 |pmid=16641791 |doi= |url=}}</ref><ref name="JangKim2003">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Kim|first2=Tae Kyoung|last3=Lim|first3=Hyo Keun|last4=Park|first4=Sang Jae|last5=Sim|first5=Jung Suk|last6=Kim|first6=Hyae Young|last7=Lee|first7=Joo-Hyuk|title=Hepatic Hemangioma: Atypical Appearances on CT, MR Imaging, and Sonography|journal=American Journal of Roentgenology|volume=180|issue=1|year=2003|pages=135–141|issn=0361-803X|doi=10.2214/ajr.180.1.1800135}}</ref><ref>{{cite journal|doi=10.1102/1470-7330.2009.0015}}</ref><ref name="JangYu2009">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Yu|first2=Hojun|last3=Kim|first3=Tae Kyoung|title=Imaging of Focal Liver Lesions|journal=Seminars in Roentgenology|volume=44|issue=4|year=2009|pages=266–282|issn=0037198X|doi=10.1053/j.ro.2009.05.008}}</ref><ref name="JangYu2009">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Yu|first2=Hojun|last3=Kim|first3=Tae Kyoung|title=Imaging of Focal Liver Lesions|journal=Seminars in Roentgenology|volume=44|issue=4|year=2009|pages=266–282|issn=0037198X|doi=10.1053/j.ro.2009.05.008}}</ref><ref name="BhayanaKim2010">{{cite journal|last1=Bhayana|first1=Deepak|last2=Kim|first2=Tae Kyoung|last3=Jang|first3=Hyun-Jung|last4=Burns|first4=Peter N.|last5=Wilson|first5=Stephanie R.|title=Hypervascular Liver Masses on Contrast-Enhanced Ultrasound: The Importance of Washout|journal=American Journal of Roentgenology|volume=194|issue=4|year=2010|pages=977–983|issn=0361-803X|doi=10.2214/AJR.09.3375}}</ref><ref name="pmid21427331">{{cite journal |vauthors=Tamada T, Ito K, Yamamoto A, Sone T, Kanki A, Tanaka F, Higashi H |title=Hepatic hemangiomas: evaluation of enhancement patterns at dynamic MRI with gadoxetate disodium |journal=AJR Am J Roentgenol |volume=196 |issue=4 |pages=824–30 |year=2011 |pmid=21427331 |doi=10.2214/AJR.10.5113 |url=}}</ref><ref name="Heiken2007">{{cite journal|last1=Heiken|first1=Jay P.|title=Distinguishing benign from malignant liver tumours|journal=Cancer Imaging|volume=7|issue=Special Issue A|year=2007|pages=S1–S14|issn=1470-7330|doi=10.1102/1470-7330.2007.9084}}</ref><ref name="AlturkistanyJang2011">{{cite journal|last1=Alturkistany|first1=Samira|last2=Jang|first2=Hyun-Jung|last3=Yu|first3=Hojun|last4=Lee|first4=Kyoung Ho|last5=Kim|first5=Tae Kyoung|title=Fading hepatic hemangiomas on multiphasic CT|journal=Abdominal Radiology|volume=37|issue=5|year=2011|pages=775–780|issn=2366-004X|doi=10.1007/s00261-011-9826-6}}</ref>
*[[Hemangioma|Liver hemangioma]]
*[[Hepatoblastoma]] in children
*[[Hepatoblastoma]] in children
*[[Inflammatory]] [[lesions]]<ref name="pmid18359914">{{cite journal |vauthors=Liu GJ, Lu MD, Xie XY, Xu HX, Xu ZF, Zheng YL, Liang JY, Wang W |title=Real-time contrast-enhanced ultrasound imaging of infected focal liver lesions |journal=J Ultrasound Med |volume=27 |issue=4 |pages=657–66 |year=2008 |pmid=18359914 |doi= |url=}}</ref><ref name="KimChoi2004">{{cite journal|last1=Kim|first1=Kyoung Won|last2=Choi|first2=Byung Ihn|last3=Park|first3=Seong Ho|last4=Kim|first4=Ah Young|last5=Koh|first5=Young Hwan|last6=Lee|first6=Hyun Ju|last7=Han|first7=Joon Koo|title=Pyogenic hepatic abscesses: distinctive features from hypovascular hepatic malignancies on contrast-enhanced ultrasound with SH U 508A; early experience|journal=Ultrasound in Medicine & Biology|volume=30|issue=6|year=2004|pages=725–733|issn=03015629|doi=10.1016/j.ultrasmedbio.2004.03.006}}</ref><ref name="pmid16641791">{{cite journal |vauthors=Kim TK, Jang HJ, Wilson SR |title=Benign liver masses: imaging with microbubble contrast agents |journal=Ultrasound Q |volume=22 |issue=1 |pages=31–9 |year=2006 |pmid=16641791 |doi= |url=}}</ref><ref name="pmid17161932">{{cite journal |vauthors=Syed MA, Kim TK, Jang HJ |title=Portal and hepatic vein thrombosis in liver abscess: CT findings |journal=Eur J Radiol |volume=61 |issue=3 |pages=513–9 |year=2007 |pmid=17161932 |doi=10.1016/j.ejrad.2006.11.022 |url=}}</ref><ref name="MeniasSurabhi2008">{{cite journal|last1=Menias|first1=Christine O.|last2=Surabhi|first2=Venkateswar R.|last3=Prasad|first3=Srinivasa R.|last4=Wang|first4=Hanlin L.|last5=Narra|first5=Vamsi R.|last6=Chintapalli|first6=Kedar N.|title=Mimics of Cholangiocarcinoma: Spectrum of Disease|journal=RadioGraphics|volume=28|issue=4|year=2008|pages=1115–1129|issn=0271-5333|doi=10.1148/rg.284075148}}</ref>
*[[Inflammatory]] [[lesions]]
*[[Mesenchymal]] [[hamartoma]] in children<ref name="pmid1734701">{{cite journal |vauthors=Gollapudi P, Chejfec G, Zarling EJ |title=Spontaneous regression of hepatic pseudotumor |journal=Am. J. Gastroenterol. |volume=87 |issue=2 |pages=214–7 |year=1992 |pmid=1734701 |doi= |url=}}</ref><ref name="pmid10228516">{{cite journal |vauthors=Yoon KH, Ha HK, Lee JS, Suh JH, Kim MH, Kim PN, Lee MG, Yun KJ, Choi SC, Nah YH, Kim CG, Won JJ, Auh YH |title=Inflammatory pseudotumor of the liver in patients with recurrent pyogenic cholangitis: CT-histopathologic correlation |journal=Radiology |volume=211 |issue=2 |pages=373–9 |year=1999 |pmid=10228516 |doi=10.1148/radiology.211.2.r99ma36373 |url=}}</ref>
*[[Mesenchymal]] [[hamartoma]] in children<ref name="pmid1734701">{{cite journal |vauthors=Gollapudi P, Chejfec G, Zarling EJ |title=Spontaneous regression of hepatic pseudotumor |journal=Am. J. Gastroenterol. |volume=87 |issue=2 |pages=214–7 |year=1992 |pmid=1734701 |doi= |url=}}</ref><ref name="pmid10228516">{{cite journal |vauthors=Yoon KH, Ha HK, Lee JS, Suh JH, Kim MH, Kim PN, Lee MG, Yun KJ, Choi SC, Nah YH, Kim CG, Won JJ, Auh YH |title=Inflammatory pseudotumor of the liver in patients with recurrent pyogenic cholangitis: CT-histopathologic correlation |journal=Radiology |volume=211 |issue=2 |pages=373–9 |year=1999 |pmid=10228516 |doi=10.1148/radiology.211.2.r99ma36373 |url=}}</ref>
*Multiacinar regenerative [[nodule]]
*Multiacinar regenerative [[nodule]]
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* [[Panniculitis|Pancreatic panniculitis]]
* [[Panniculitis|Pancreatic panniculitis]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Focal nodular hyperplasia]]
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Focal nodular hyperplasia]]<ref name="pmid11906867">{{cite journal |vauthors=Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R |title=Large regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: CT and MR imaging findings with clinicopathologic correlation |journal=AJR Am J Roentgenol |volume=178 |issue=4 |pages=877–83 |year=2002 |pmid=11906867 |doi=10.2214/ajr.178.4.1780877 |url=}}</ref><ref name="pmid12110714">{{cite journal |vauthors=Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R |title=Benign regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlation |journal=Radiographics |volume=22 |issue=4 |pages=847–62 |year=2002 |pmid=12110714 |doi=10.1148/radiographics.22.4.g02jl17847 |url=}}</ref><ref name="NewerlaSchaeffer2012">{{cite journal|last1=Newerla|first1=Caroline|last2=Schaeffer|first2=Fabienne|last3=Terracciano|first3=Luigi|last4=Hohmann|first4=Joachim|title=Multiple FNH-Like Lesions in a Patient with Chronic Budd-Chiari Syndrome: Gd-EOB-Enhanced MRI and BR1 CEUS Findings|journal=Case Reports in Radiology|volume=2012|year=2012|pages=1–5|issn=2090-6862|doi=10.1155/2012/685486}}</ref><ref name="pmid22618456">{{cite journal |vauthors=Yoneda N, Matsui O, Kitao A, Kita R, Kozaka K, Koda W, Kobayashi S, Gabata T, Ikeda H, Sato Y, Nakanuma Y |title=Hepatocyte transporter expression in FNH and FNH-like nodule: correlation with signal intensity on gadoxetic acid enhanced magnetic resonance images |journal=Jpn J Radiol |volume=30 |issue=6 |pages=499–508 |year=2012 |pmid=22618456 |doi=10.1007/s11604-012-0085-4 |url=}}</ref>
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
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| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Liver hemangioma]]
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Liver hemangioma]]<ref name="KimLee2011">{{cite journal|last1=Kim|first1=Tae Kyoung|last2=Lee|first2=Kyoung Ho|last3=Jang|first3=Hyun–Jung|last4=Haider|first4=Masoom A.|last5=Jacks|first5=Lindsay M.|last6=Menezes|first6=Ravi J.|last7=Park|first7=Seong Ho|last8=Yazdi|first8=Leyla|last9=Sherman|first9=Morris|last10=Khalili|first10=Korosh|title=Analysis of Gadobenate Dimeglumine–enhanced MR Findings for Characterizing Small (1–2-cm) Hepatic Nodules in Patients at High Risk for Hepatocellular Carcinoma|journal=Radiology|volume=259|issue=3|year=2011|pages=730–738|issn=0033-8419|doi=10.1148/radiol.11101549}}</ref><ref name="pmid11833870">{{cite journal |vauthors=Kim JH, Kim TK, Kim BS, Eun HW, Kim PN, Lee MG, Ha HK |title=Enhancement of hepatic hemangiomas with levovist on coded harmonic angiographic ultrasonography |journal=J Ultrasound Med |volume=21 |issue=2 |pages=141–8 |year=2002 |pmid=11833870 |doi= |url=}}</ref><ref name="BranniganBurns2004">{{cite journal|last1=Brannigan|first1=Margot|last2=Burns|first2=Peter N.|last3=Wilson|first3=Stephanie R.|title=Blood Flow Patterns in Focal Liver Lesions at Microbubble-enhanced US|journal=RadioGraphics|volume=24|issue=4|year=2004|pages=921–935|issn=0271-5333|doi=10.1148/rg.244035158}}</ref><ref name="pmid16641791">{{cite journal |vauthors=Kim TK, Jang HJ, Wilson SR |title=Benign liver masses: imaging with microbubble contrast agents |journal=Ultrasound Q |volume=22 |issue=1 |pages=31–9 |year=2006 |pmid=16641791 |doi= |url=}}</ref><ref name="JangKim2003">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Kim|first2=Tae Kyoung|last3=Lim|first3=Hyo Keun|last4=Park|first4=Sang Jae|last5=Sim|first5=Jung Suk|last6=Kim|first6=Hyae Young|last7=Lee|first7=Joo-Hyuk|title=Hepatic Hemangioma: Atypical Appearances on CT, MR Imaging, and Sonography|journal=American Journal of Roentgenology|volume=180|issue=1|year=2003|pages=135–141|issn=0361-803X|doi=10.2214/ajr.180.1.1800135}}</ref><ref>{{cite journal|doi=10.1102/1470-7330.2009.0015}}</ref><ref name="JangYu2009">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Yu|first2=Hojun|last3=Kim|first3=Tae Kyoung|title=Imaging of Focal Liver Lesions|journal=Seminars in Roentgenology|volume=44|issue=4|year=2009|pages=266–282|issn=0037198X|doi=10.1053/j.ro.2009.05.008}}</ref><ref name="JangYu2009">{{cite journal|last1=Jang|first1=Hyun-Jung|last2=Yu|first2=Hojun|last3=Kim|first3=Tae Kyoung|title=Imaging of Focal Liver Lesions|journal=Seminars in Roentgenology|volume=44|issue=4|year=2009|pages=266–282|issn=0037198X|doi=10.1053/j.ro.2009.05.008}}</ref><ref name="BhayanaKim2010">{{cite journal|last1=Bhayana|first1=Deepak|last2=Kim|first2=Tae Kyoung|last3=Jang|first3=Hyun-Jung|last4=Burns|first4=Peter N.|last5=Wilson|first5=Stephanie R.|title=Hypervascular Liver Masses on Contrast-Enhanced Ultrasound: The Importance of Washout|journal=American Journal of Roentgenology|volume=194|issue=4|year=2010|pages=977–983|issn=0361-803X|doi=10.2214/AJR.09.3375}}</ref><ref name="pmid21427331">{{cite journal |vauthors=Tamada T, Ito K, Yamamoto A, Sone T, Kanki A, Tanaka F, Higashi H |title=Hepatic hemangiomas: evaluation of enhancement patterns at dynamic MRI with gadoxetate disodium |journal=AJR Am J Roentgenol |volume=196 |issue=4 |pages=824–30 |year=2011 |pmid=21427331 |doi=10.2214/AJR.10.5113 |url=}}</ref><ref name="Heiken2007">{{cite journal|last1=Heiken|first1=Jay P.|title=Distinguishing benign from malignant liver tumours|journal=Cancer Imaging|volume=7|issue=Special Issue A|year=2007|pages=S1–S14|issn=1470-7330|doi=10.1102/1470-7330.2007.9084}}</ref><ref name="AlturkistanyJang2011">{{cite journal|last1=Alturkistany|first1=Samira|last2=Jang|first2=Hyun-Jung|last3=Yu|first3=Hojun|last4=Lee|first4=Kyoung Ho|last5=Kim|first5=Tae Kyoung|title=Fading hepatic hemangiomas on multiphasic CT|journal=Abdominal Radiology|volume=37|issue=5|year=2011|pages=775–780|issn=2366-004X|doi=10.1007/s00261-011-9826-6}}</ref>
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Intermittent [[RUQ]]
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Intermittent [[RUQ]]
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| style="padding: 5px 5px; background: #DCDCDC;" align="center" |Inflammatory lesions
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |Inflammatory lesions<ref name="pmid18359914">{{cite journal |vauthors=Liu GJ, Lu MD, Xie XY, Xu HX, Xu ZF, Zheng YL, Liang JY, Wang W |title=Real-time contrast-enhanced ultrasound imaging of infected focal liver lesions |journal=J Ultrasound Med |volume=27 |issue=4 |pages=657–66 |year=2008 |pmid=18359914 |doi= |url=}}</ref><ref name="KimChoi2004">{{cite journal|last1=Kim|first1=Kyoung Won|last2=Choi|first2=Byung Ihn|last3=Park|first3=Seong Ho|last4=Kim|first4=Ah Young|last5=Koh|first5=Young Hwan|last6=Lee|first6=Hyun Ju|last7=Han|first7=Joon Koo|title=Pyogenic hepatic abscesses: distinctive features from hypovascular hepatic malignancies on contrast-enhanced ultrasound with SH U 508A; early experience|journal=Ultrasound in Medicine & Biology|volume=30|issue=6|year=2004|pages=725–733|issn=03015629|doi=10.1016/j.ultrasmedbio.2004.03.006}}</ref><ref name="pmid16641791">{{cite journal |vauthors=Kim TK, Jang HJ, Wilson SR |title=Benign liver masses: imaging with microbubble contrast agents |journal=Ultrasound Q |volume=22 |issue=1 |pages=31–9 |year=2006 |pmid=16641791 |doi= |url=}}</ref><ref name="pmid17161932">{{cite journal |vauthors=Syed MA, Kim TK, Jang HJ |title=Portal and hepatic vein thrombosis in liver abscess: CT findings |journal=Eur J Radiol |volume=61 |issue=3 |pages=513–9 |year=2007 |pmid=17161932 |doi=10.1016/j.ejrad.2006.11.022 |url=}}</ref><ref name="MeniasSurabhi2008">{{cite journal|last1=Menias|first1=Christine O.|last2=Surabhi|first2=Venkateswar R.|last3=Prasad|first3=Srinivasa R.|last4=Wang|first4=Hanlin L.|last5=Narra|first5=Vamsi R.|last6=Chintapalli|first6=Kedar N.|title=Mimics of Cholangiocarcinoma: Spectrum of Disease|journal=RadioGraphics|volume=28|issue=4|year=2008|pages=1115–1129|issn=0271-5333|doi=10.1148/rg.284075148}}</ref>
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]
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Revision as of 13:19, 23 April 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Hepatocellular carcinoma must be differentiated from other diseases that cause abdominal pain, jaundice, and weight loss, such as liver cirrhosis and pancreatitis.

Differentiating Hepatocellular Carcinoma from other Diseases

Hepatocellular carcinoma must be differentiated from the following diseases:[1][2][3][4][5][6][7][8][9][10]

Abbreviations: RUQ= Right upper quadrant of the abdomen, LUQ= Left upper quadrant, LLQ= Left lower quadrant, RLQ= Right lower quadrant, LFT= Liver function test, SIRS= Systemic inflammatory response syndrome, ERCP= Endoscopic retrograde cholangiopancreatography, IV= Intravenous, N= Normal, AMA= Anti mitochondrial antibodies, LDH= Lactate dehydrogenase, GI= Gastrointestinal, CXR= Chest X ray, IgA= Immunoglobulin A, IgG= Immunoglobulin G, IgM= Immunoglobulin M, CT= Computed tomography, PMN= Polymorphonuclear cells, ESR= Erythrocyte sedimentation rate, CRP= C-reactive protein, TS= Transferrin saturation, SF= Serum Ferritin, SMA= Superior mesenteric artery, SMV= Superior mesenteric vein, ECG= Electrocardiogram

Disease Clinical manifestations Diagnosis Comments
Symptoms Signs
Abdominal Pain Fever Rigors and chills Nausea or vomiting Jaundice Constipation Diarrhea Weight loss GI bleeding Hypo-

tension

Guarding Rebound Tenderness Bowel sounds Lab Findings Imaging
Hepatocellular carcinoma/Metastasis RUQ + + + + + + + + +
  • Normal
  • Hyperactive if obstruction present

Other symptoms:

Cholangiocarcinoma[38][39][40][41] RUQ + + + + + Normal
  • Predisposes to pancreatic cancer
Pancreatic carcinoma MidEpigastric + + + + + Normal

Skin manifestations may include:

Focal nodular hyperplasia[42][43][44][45] Diffuse ± ± + + Normal
  • Open biopsy if diagnosis can not be established
Disease Abdominal Pain Fever Rigors and chills Nausea or vomiting Jaundice Constipation Diarrhea Weight loss GI bleeding Hypo-

tension

Guarding Rebound Tenderness Bowel sounds Lab Findings Imaging Comments
Gallbladder cancer Midepigastric + + + + Normal
Liver hemangioma[46][47][48][49][50][51][52][52][53][54][55][56] Intermittent RUQ + + Normal
  • Abnormal LFTs
Liver abscess RUQ + + + + Normal
  • US
  • CT
Cirrhosis RUQ+Bloating + + + + Normal US
  • Stigmata of liver disease
  • Cruveilhier- Baumgarten murmur
Inflammatory lesions[57][58][49][59][60] RUQ ± + + Normal US
  • Nodular,shrunken or coarse liver
  • Stigmata of liver disease

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