Can HCC spread to colon?
HCC with hematogeous metastasis to colon is very rare. This case shows the typical findings of HCC metastasis to sigmoid colon. Extrahepatic metastasis of HCC is increasing with prolonged survival and the most frequent sites of metastases are lung, bone, and lymph nodes.
What conditions are commonly associated with HCC?
Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer. Hepatocellular carcinoma occurs most often in people with chronic liver diseases, such as cirrhosis caused by hepatitis B or hepatitis C infection.
What is a heterogeneous mass in liver?
Benign tumors of the liver are a heterogeneous group of lesions whose detection has greatly increased because of the widespread use of imaging techniques. Only a few types, such as cavernous hemangiomas, focal nodular hyperplasia (FNH), hepatic adenoma (HA), and cysts, are frequent enough to be of clinical importance.
What is TACE for HCC?
Transarterial chemoembolization (TACE) is currently the most common approach for the management of hepatocellular carcinoma (HCC) without curative options. TACE consists of the injection of anticancer drugs with or without lipiodol into the hepatic artery, followed by the administration of embolizing agents.
Where does HCC metastasis to?
HCC commonly metastasises to lungs, lymph nodes, adrenal gland and bones, including the skull. The overall prognosis of patients with metastatic HCC is poor.
What does mild heterogeneous liver mean?
1 One of the main causes of heterogeneous echogenicity of the liver is chronic liver disease/cirrhosis (Figure 1 of the supplementary material). Other common conditions leading to heterogeneous echogenicity are patchy steatosis and diffuse tumor infiltration.
Does Dr Bruix have a potential conflict of interest?
Potential conflict of interest: Dr. Bruix advises, consults for, serves on the speaker’s bureau of, and received grants from Bayer. Dr. Bruix consults for Biocompatibles, GlaxoSmithKline, Kowa, Novartis, and Arqule. Dr. Bruix also advises and consults for Bristol-Myers Squibb.
What is the sensitivity of ultrasound in the diagnosis of hepatocellular carcinoma?
For example, ultrasound has a sensitivity of 63% for detecting hepatocellular carcinoma at an early stage in prospective efficacy studies and is regarded as being more efficacious that alpha fetoprotein.
What is the success rate of radiofrequency ablation for hepatocellular carcinoma (HCC)?
A cohort study of radiofrequency ablation demonstrated that complete ablation of lesions smaller than 2 cm is possible in more than 90% of cases, with a local recurrence rate of less than 1%. 13 These data should be confirmed by other groups before positioning ablation as the first-line approach for very early HCC.
What is the best staging system for hepatocellular carcinoma (HCC)?
The BCLC staging system (Fig. 2) 11 has come to be widely accepted in clinical practice and is also being used for many clinical trials of new drugs to treat HCC. Therefore, it has become the de facto staging system that is used. The BCLC staging system for HCC.
