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ECR 2013 / C-1583
Diffuse hepatocarcinoma. Is it still a diagnostic challenge? A pictorial essay.
Congress: ECR 2013
Poster No.: C-1583
Type: Educational Exhibit
Keywords: Education and training, Cirrhosis, Cancer, Education, Diagnostic procedure, MR-Angiography, MR, CT, Veins / Vena cava, Oncology, Liver
Authors: S. Lumbreras Garuz, R. Castellón Siles, X. Merino Casabiel, V. Pineda, S. Roche, S. Quiroga Gómez, E. I. Castella Fierro, B. Mínguez, R. Dominguez Oronoz; Barcelona/ES



Hepatocellular Carcinoma (HCC) is the sixth most common cancer worldwide and the third cause of cancer related death. HCC most commonly arises in the background of chronic liver disease (cirrhosis). Imaging findings of the morphological subtypes “focal/nodular” of HCC are widely described. Diffuse subtype accounts for almost 13% of the total amount of the disease and it’s often diagnosed at advanced stage and so it has worse prognosis because therapeutic options are limited.


Diffuse HCC detection can be a challenge due to its subtle image features and its mimic with underlying cirrhosis. Imaging features are poorly documented in literature and radiologist may not be familiar with its findings. 

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