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
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author Haeffele, Christiane
Aggarwal, Avin
Lutchman, Glen
Veldtman, Gruschen R.
Wu, Fred M.
Lui, George K.
author_facet Haeffele, Christiane
Aggarwal, Avin
Lutchman, Glen
Veldtman, Gruschen R.
Wu, Fred M.
Lui, George K.
author_sort Haeffele, Christiane
collection PubMed
description 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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spelling pubmed-83014942021-07-26 Fontan Liver Lesions: Not Always HCC Haeffele, Christiane Aggarwal, Avin Lutchman, Glen Veldtman, Gruschen R. Wu, Fred M. Lui, George K. JACC Case Rep Case Report 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.) Elsevier 2019-08-21 /pmc/articles/PMC8301494/ /pubmed/34316779 http://dx.doi.org/10.1016/j.jaccas.2019.05.031 Text en © 2019 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Haeffele, Christiane
Aggarwal, Avin
Lutchman, Glen
Veldtman, Gruschen R.
Wu, Fred M.
Lui, George K.
Fontan Liver Lesions: Not Always HCC
title Fontan Liver Lesions: Not Always HCC
title_full Fontan Liver Lesions: Not Always HCC
title_fullStr Fontan Liver Lesions: Not Always HCC
title_full_unstemmed Fontan Liver Lesions: Not Always HCC
title_short Fontan Liver Lesions: Not Always HCC
title_sort fontan liver lesions: not always hcc
topic Case Report
url 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
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