Fontan Liver Lesions: Not Always HCC

A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Patholo...

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Detalles Bibliográficos
Autores principales: Haeffele, Christiane, Aggarwal, Avin, Lutchman, Glen, Veldtman, Gruschen R., Wu, Fred M., Lui, George K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8301494/
https://www.ncbi.nlm.nih.gov/pubmed/34316779
http://dx.doi.org/10.1016/j.jaccas.2019.05.031
Descripción
Sumario:A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Pathology demonstrated focal nodular hyperplasia. This raises concern for overdiagnosis of HCC in Fontan patients without tissue confirmation. (Level of Difficulty: Advanced.)

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