肝硬化患者的密切随访导致早期肝细胞癌(HCC)的检测增加,尤其是磁共振成像(MRI)创新。我们报道了一个70岁男子的病例,由于慢性丙型肝炎病毒(HCV)并发肝细胞癌(HCC),最近有肝硬化史,计划对其进行肝动脉化疗栓塞(TACE),因为患者在入院时被分配为儿童B7。在第一个TACE周期中进行的血管造影不仅显示与先前检测到的HCC相对应的“肿瘤腮红”,而且在大的增生性结节中看到的HCC摄取的其他小病灶,从而出现“结节内结节”。“早期发现肝细胞癌可以改善预后。因此,了解HCC的所有早期方面至关重要,包括横断面成像上结节内结节的外观,在血管造影中,在这种情况下。
Close follow-up of patients with liver cirrhosis has led to increased detection of hepatocellular carcinoma (HCC) at an early stage, especially with magnetic resonance imaging (MRI) innovations. We report the
case of a 70-year-old man, with a recent history of liver cirrhosis due to chronic hepatitis C virus (HCV) complicated by hepatocellular carcinoma (HCC), and for whom trans-arterial chemoembolization (TACE) was planned, as the patient was assigned Child B7 at admission. Angiography performed during the first TACE cycle shows not only the \"tumor blush\" corresponding to previously detected HCC but also an additional small foci of HCC uptake seen within a large dysplastic nodule giving the appearance of \"nodule-within-nodule.\" Early detection of hepatocellular carcinoma improves prognosis. Hence, it is essential to be aware of all early aspects of HCC, including the nodule-within-nodule appearance on cross-sectional imaging, and also in angiography, as in this
case.