Limits...
Giant pedunculated hepatocellular carcinoma masquerading as a pelvic mass: a case report.

Jung HI - Korean J Hepatobiliary Pancreat Surg (2014)

Bottom Line: CT scan detected an approximately 15.0×13.4×11.4 cm-sized multilobulated homogeneous enhancing mass in the right adnexa.Operative findings showed that the pelvic mass originated from the liver.We performed hepatic wedge resection.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

ABSTRACT
Hepatocellular carcinoma (HCC) is one of the most common malignancies in the world, with high frequency rates in Asia. Many of the patients have unresectable disease at the time of diagnosis, and early detection and surgical resection is the best hope for survival. But, if HCC is presenting as an extrahepatic mass, the diagnosis is difficult. Herein, we report a case of primary HCC masquerading as a pelvic mass. A 74-year-old woman was admitted to our hospital due to a palpable mass in the lower abdomen. CT scan detected an approximately 15.0×13.4×11.4 cm-sized multilobulated homogeneous enhancing mass in the right adnexa. Operative findings showed that the pelvic mass originated from the liver. We performed hepatic wedge resection. Permanent histopathologic report revealed primary HCC. Exophytic-growing hepatocellular carcinoma should be carefully diagnosed.

No MeSH data available.


Related in: MedlinePlus

Computed tomography findings showing multilobulated homogeneous enhancing mass in the right adnexa with multiple low density foci and tubular intense enhancing structure (A and B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4492317&req=5

Figure 1: Computed tomography findings showing multilobulated homogeneous enhancing mass in the right adnexa with multiple low density foci and tubular intense enhancing structure (A and B).

Mentions: A 74-year-old woman was admitted to our hospital 3 years ago because of a palpable mass in the lower abdomen. Other symptoms such as nausea, vomiting, and abdominal pain were present. She also complained of vaginal discharge without bleeding. She did not have any other medical and surgical history. She had no history of blood transfusion or alcohol abuse. There was no family history of HCC. On physical examination, a huge palpable movable mass was detected in the lower abdomen, and the abdomen was slightly tender and distended. Blood tests demonstrated decreased hemoglobin/hematocrit, normal while blood cell and platelet count (10.4 g/dl/31.6%, 7,140/mm3 and 309,000/mm3, respectively). Other laboratory findings showed mild hyperbilirubinemia, serum total bilirubin 1.4 mg/dl and slightly elevated liver enzymes, Aspartate transaminase/Alanine transaminze 57/45 IU/L, alkaline phosphatase 149 IU/L. Hepatitis B virus surface antigen (HBsAg) and hepatitis C virus antibody (HCV-Ab) were negative. Also, tumor markers such as alpha-fetoprotein (AFP), cancer antigen (CA)-125, CA19-9, β-hCG (human chorionic goandotropin), Carcinoembryonic antigen (CEA) were within their normal limits. The other findings were unremarkable. Transvaginal ultrasonography revealed a huge solid mass with internal low echogenicity in the upper portion of the uterus, and CT scans showed a multilobulated homogeneous enhancing mass between the right adnexa and the left hepatic lobe measuring 15.2×11.4 cm (Fig. 1).


Giant pedunculated hepatocellular carcinoma masquerading as a pelvic mass: a case report.

Jung HI - Korean J Hepatobiliary Pancreat Surg (2014)

Computed tomography findings showing multilobulated homogeneous enhancing mass in the right adnexa with multiple low density foci and tubular intense enhancing structure (A and B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492317&req=5

Figure 1: Computed tomography findings showing multilobulated homogeneous enhancing mass in the right adnexa with multiple low density foci and tubular intense enhancing structure (A and B).
Mentions: A 74-year-old woman was admitted to our hospital 3 years ago because of a palpable mass in the lower abdomen. Other symptoms such as nausea, vomiting, and abdominal pain were present. She also complained of vaginal discharge without bleeding. She did not have any other medical and surgical history. She had no history of blood transfusion or alcohol abuse. There was no family history of HCC. On physical examination, a huge palpable movable mass was detected in the lower abdomen, and the abdomen was slightly tender and distended. Blood tests demonstrated decreased hemoglobin/hematocrit, normal while blood cell and platelet count (10.4 g/dl/31.6%, 7,140/mm3 and 309,000/mm3, respectively). Other laboratory findings showed mild hyperbilirubinemia, serum total bilirubin 1.4 mg/dl and slightly elevated liver enzymes, Aspartate transaminase/Alanine transaminze 57/45 IU/L, alkaline phosphatase 149 IU/L. Hepatitis B virus surface antigen (HBsAg) and hepatitis C virus antibody (HCV-Ab) were negative. Also, tumor markers such as alpha-fetoprotein (AFP), cancer antigen (CA)-125, CA19-9, β-hCG (human chorionic goandotropin), Carcinoembryonic antigen (CEA) were within their normal limits. The other findings were unremarkable. Transvaginal ultrasonography revealed a huge solid mass with internal low echogenicity in the upper portion of the uterus, and CT scans showed a multilobulated homogeneous enhancing mass between the right adnexa and the left hepatic lobe measuring 15.2×11.4 cm (Fig. 1).

Bottom Line: CT scan detected an approximately 15.0×13.4×11.4 cm-sized multilobulated homogeneous enhancing mass in the right adnexa.Operative findings showed that the pelvic mass originated from the liver.We performed hepatic wedge resection.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

ABSTRACT
Hepatocellular carcinoma (HCC) is one of the most common malignancies in the world, with high frequency rates in Asia. Many of the patients have unresectable disease at the time of diagnosis, and early detection and surgical resection is the best hope for survival. But, if HCC is presenting as an extrahepatic mass, the diagnosis is difficult. Herein, we report a case of primary HCC masquerading as a pelvic mass. A 74-year-old woman was admitted to our hospital due to a palpable mass in the lower abdomen. CT scan detected an approximately 15.0×13.4×11.4 cm-sized multilobulated homogeneous enhancing mass in the right adnexa. Operative findings showed that the pelvic mass originated from the liver. We performed hepatic wedge resection. Permanent histopathologic report revealed primary HCC. Exophytic-growing hepatocellular carcinoma should be carefully diagnosed.

No MeSH data available.


Related in: MedlinePlus