Hepatocellular carcinoma with macrovascular invasion: multimodality imaging features for the diagnosis.
Hepatocellular carcinoma (HCC) is frequently associated with macrovascular invasion of the portal vein or hepatic veins in advanced stages. The accurate diagnosis of macrovascular invasion and the differentiation from bland non-tumoral thrombus has significant clinical and management implications, s...
| Publicado en: | Diagnostic & Interventional Radiology Vol. 26; no. 6; pp. 531 - 541 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Galenos Yayinevi Tic. LTD. STI
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146957121&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146957121 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13053825 39NM jtl: Diagnostic & Interventional Radiology issn: 13053825 maglogo: N pubinfo: dt: Nov2020 vid: 26 iid: 6 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 146957121 146957121 NLM32990243 10.5152/dir.2020.19569 NLM32990243 146957121 ppf: 531 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Hepatocellular carcinoma with macrovascular invasion: multimodality imaging features for the diagnosis. aug: au: Cannella, Roberto Taibbi, Adele Porrello, Giorgia Dioguardi Burgio, Marco Cabibbo, Giuseppe Vincenzo Bartolotta, Tommaso Burgio, Marco Dioguardi Bartolotta, Tommaso Vincenzo affil: From the Department of Radiology - BiND, University Hospital "Paolo Giaccone", Palermo, Italy sug: subj: Carcinoma, Hepatocellular Liver Neoplasms Surgery Carcinoma, Hepatocellular Surgery Liver Neoplasms Diagnostic Imaging Hepatectomy Portal Vein Scales ab: Hepatocellular carcinoma (HCC) is frequently associated with macrovascular invasion of the portal vein or hepatic veins in advanced stages. The accurate diagnosis of macrovascular invasion and the differentiation from bland non-tumoral thrombus has significant clinical and management implications, since it narrows the therapeutic options and it represents a mandatory contraindication for liver resection or transplantation. The imaging diagnosis remains particularly challenging since the imaging features of HCC with macrovascular invasion may be subtle, especially in lesions showing infiltrative appearance. However, each radiologic imaging modality may provide findings suggesting the presence of tumor thrombus rather than bland thrombus. The purpose of this paper is to review the current guidelines and imaging appearance of HCC with macrovascular invasion. Knowledge of the most common imaging features of HCC with macrovascular invasion may improve the diagnostic confidence of tumor thrombus in clinical practice and help to guide patients' management. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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