Computed Tomography of Adrenal Metastases in Hepatocellular Carcinoma

Four patients with adrenal metastases from hepatocellular carcinoma (HCC) diagnosed with computed tomography are described. In three, the metastases showed a central area of low density due to tumor necrosis, irregular contrast enhancement, and a well-defined margin. They measured 8 cm or more in diameter. In one, the adrenal metastasis was at first a relatively small homogeneously solid mass, but later, when it grew larger, a central low density developed. Since the adrenal gland is the second most common site of metastasis from HCC at autopsy, a combination of an adrenal tumor and a liver tumor should suggest this possibility.

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Leberzellkarzinom – Radiofrequenzablation: Welches Bildgebungsverfahren ist effektiver?

Gesundheitsökonomie & Qualitätsmanagement ◽

10.1055/a-0978-0094 ◽

2019 ◽

Vol 24 (04) ◽

pp. 163-164

Author(s):

Cornelia Fietz

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Radiofrequency Ablation ◽

Comparative Effectiveness ◽

Percutaneous Radiofrequency Ablation ◽

Ultrasound Guided ◽

Medicare Patients ◽

Us Dollar

Huo J et al. Comparative Effectiveness of Computed Tomography-Versus Ultrasound-Guided Percutaneous Radiofrequency Ablation Among Medicare Patients 65 Years of Age or Older With Hepatocellular Carcinoma. Value Health 2019; 22(3):284–292 Die Inzidenz des Leberzellkarzinoms hat sich in den letzen 20 Jahren mehr als verdoppelt. 2018 wurden in den USA mehr als 31 600 neue Fälle registriert, knapp die Hälfte dieser Patienten war älter als 65 Jahre. Die damit verbundenen jährlichen Kosten werden auf 455 Millionen US Dollar geschätzt. Für fortgeschrittene, inoperable Fälle steht die Radiofrequenzablation als Therapieoption zur Verfügung, die Ultraschall- oder Computertomographie-gestützt durchgeführt werden kann. Die Autoren vergleichen die Effektivität beider Bildgebungstechniken für das Verfahren.

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Computed tomography and angiography of hepatocellular carcinoma

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1987.23.5.758 ◽

1987 ◽

Vol 23 (5) ◽

pp. 758

Author(s):

Y Lee ◽

J H Park ◽

B I Choi ◽

B H Lee ◽

C H Suh ◽

...

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma

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Early prediction of 1-year tumor response of hepatocellular carcinoma with lipiodol deposition pattern through post-embolization cone-beam computed tomography during conventional transarterial chemoembolization

European Radiology ◽

10.1007/s00330-021-07843-8 ◽

2021 ◽

Author(s):

Yin-Chen Tsai ◽

Jou-Ho Shih ◽

Hsuen-En Hwang ◽

Nai-Chi Chiu ◽

Rheun-Chuan Lee ◽

...

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Cone Beam Computed Tomography ◽

Transarterial Chemoembolization ◽

Tumor Response ◽

Cone Beam ◽

Early Prediction ◽

Deposition Pattern

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Comparison between C-arm cone beam computed tomography and interventional angiography in transarterial chemoembolization of hepatocellular carcinoma

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-019-0053-4 ◽

2019 ◽

Vol 50 (1) ◽

Author(s):

Ibraheim Ahmed Diab ◽

Shaimaa Abdel-hamid Hassanein ◽

Hala Hafez Mohamed

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Cone Beam Computed Tomography ◽

Vascular Anatomy ◽

Cone Beam ◽

Focal Lesion ◽

Focal Lesions ◽

Conventional Angiography ◽

Interventional Angiography ◽

Cross Sectional

Abstract Background Hepatocellular carcinoma (HCC) is the most common primary hepatic malignancy of adults. One of the established treatment procedures performed worldwide for HCC is transcatheter arterial chemoembolization (TACE). By using conventional angiography in TACE, we can detect and identify the vascular anatomy of the liver through obtaining 2D images. Recently C-arm cone beam computed tomography (CBCT) is introduced for obtaining cross-sectional and three-dimensional (3D) images for better visualization of small tumors and their feeding arteries. Results The number of detected focal lesions by angiography was 51 compared to 87 focal lesion detected by CBCT; of those, 45 and 77 were active lesions by both procedures respectively. For lesions, less than 1 cm CBCT detected 23 lesions while angiography detected only one lesion. Angiography detected 87 feeding arterial branch while cone beam CT-HA detected 130 branches to the same number of target lesion. Feeder tractability and confidence were better by CBCT. Conclusion CBCT is superior to angiography in tumor detectability, detection of lesions less than 1 cm, feeder detection, and feeder traction; however, conventional angiography and DSA are irreplaceable. Thus, combination of CBCT with angiography during TACE produces better results and less complication.

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Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

Proceedings of Singapore Healthcare ◽

10.1177/2010105821992805 ◽

2021 ◽

pp. 201010582199280

Author(s):

Hany Haqimi Wan Hanafi ◽

Nazri Mustaffa ◽

Yeong Yeh Lee ◽

Siti Nurbaya Mohd Nawi

Keyword(s):

Diabetes Mellitus ◽

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Liver Disease ◽

Chronic Liver Disease ◽

Surgical Intervention ◽

Computed Tomography Scan ◽

Emphysematous Pyelonephritis ◽

Urological Emergency ◽

Tomography Scan

The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.

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Laparoscopic Repair of a Diaphragmatic Hernia Associated with Radiofrequency Ablation for Hepatocellular Carcinoma: Lessons from a Case and the Review of the Literature

International Surgery ◽

10.9738/intsurg-d-14-00025.1 ◽

2014 ◽

Vol 99 (4) ◽

pp. 384-390 ◽

Cited By ~ 3

Author(s):

Ryohei Nomura ◽

Hiromi Tokumura ◽

Makoto Furihata

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Radiofrequency Ablation ◽

Diaphragmatic Hernia ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Review Of The Literature ◽

Gastrografin Enema ◽

History Of ◽

Segment Viii

Abstract We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent postprandial periumbilical pain. Eight years earlier, he had undergone radiofrequency ablation for hepatocellular carcinoma at hepatic segment VIII. Computed tomography, gastrografin enema examination revealed transverse colon obstruction because of a diaphragmatic hernia. We diagnosed diaphragmatic hernia associated with the prior radiofrequency ablation treatment. The patient underwent laparoscopic repair of the diaphragmatic hernia. Though the patient experienced the recurrence once, relaparoscopic treatment has improved the patient's conditions. Thus, diaphragmatic hernia can develop as a complication of radiofrequency ablation treatment. A laparoscopic approach is safe, feasible, and minimally invasive, even in patients with cirrhosis who develop iatrogenic diaphragmatic hernia as a complication of radiofrequency ablation treatment.

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