CASE 696: PRIMARY CLEAR CELL HCC, Dr PHAN THANH HẢI, Dr NGÔ THỊ HUYỀN TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

  

A male patient 53 year-old with tumor in right lobe of liver and negative WAKO tests.

A 55 x 42 mm liver tumor is observed on ultrasound in segment 7. It is almost uniform, well-limited, weakly vascularized, and exhibits elastography ultrasonography SWE that is five times harder than hepatic parenchyma, measuring 29 kPa as opposed to 6.3 kPa. HCC risk testing is negative with WAKO.

MRI with Primovist confirms a 50 milimeter clear cell HCC (CC-HCC). T2 CE captured signals are higher than liver parenchyma and  lower than on T1. 

Biopsy results of tumor is an HCC well differentiazed.

REFERENCE:

Hepatocellular carcinoma (HCC) is a common cancer world-wide with a higher incidence in Asia. Clear cell variant of HCC (CC-HCC) has a frequency ranging from 0.4% to 37%. The presence of 90-100% clear cells is rare.