Hepatocellular carcinoma chest x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Chest x-ray may be helpful in the identification of certain complications that can occur as a result of hepatocellular carcinoma (HCC) and in the detection of HCC metastasis to the lungs or to detect pleural effusion.
Key Chest X-Ray Findings in Hepatocellular Carcinoma
Chest x-ray (CXR) has a limited role in the diagnosis and management of patients with hepatocellular carcinoma, however chest x-ray might be helpful in the detection of HCC metastasis to the lungs or to detect pleural effusion.[1][2][3][4]
- CXR is used to screen for ascites, seek evidence of bowel perforation in patients with suspected spontaneous bacterial peritonitis, and monitor bowel distension in acutely ill patients admitted for treatment of decompensation or variceal hemorrhage.
- X-ray may show elevation of the diaphragm from ascites.
- Gynecomastia may be appreciated on CXR.
- The azygos vein may be enlarged due to collateral flow and pleural effusions may develop due to pleuroperitoneal fistulas.
- Esophageal varices may be detected on barium study.
References
- ↑ Toyoda H, Sugimura S, Fukuda K, Mabuchi T (1999). "Hepatocellular carcinoma with spontaneous regression of multiple lung metastases". Pathol. Int. 49 (10): 893–7. PMID 10571823.
- ↑ Huang J, Pan ZY, Li L, Jiang BG, Gu FM, Wang ZG, Wang ZH, Zhou WP (2017). "Hepatocellular carcinoma with inferior vena caval and right atrial tumor thrombi and massive pulmonary artery embolism: A case report". Mol Clin Oncol. 6 (1): 111–114. doi:10.3892/mco.2016.1093. PMC 5245081. PMID 28123741.
- ↑ Lee JE, Jang JY, Jeong SW, Lee SH, Kim SG, Cha SW, Kim YS, Cho YD, Kim HS, Kim BS, Jin SY, Choi DL (2012). "Diagnostic value for extrahepatic metastases of hepatocellular carcinoma in positron emission tomography/computed tomography scan". World J. Gastroenterol. 18 (23): 2979–87. doi:10.3748/wjg.v18.i23.2979. PMC 3380326. PMID 22736922.
- ↑ Toyoda H, Sugimura S, Fukuda K, Mabuchi T (1999). "Hepatocellular carcinoma with spontaneous regression of multiple lung metastases". Pathol. Int. 49 (10): 893–7. PMID 10571823.