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Case Reports
. 2012 Jun;109(6):952-60.

[A Case of Hepatocellular Carcinoma Showed the Usefulness of Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology Using the Cell Block Technique for Differential Diagnosis of Gastric Submucosal Tumor]

[Article in Japanese]
Affiliations
  • PMID: 22688172
Case Reports

[A Case of Hepatocellular Carcinoma Showed the Usefulness of Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology Using the Cell Block Technique for Differential Diagnosis of Gastric Submucosal Tumor]

[Article in Japanese]
Akihiko Kida et al. Nihon Shokakibyo Gakkai Zasshi. .

Abstract

A mass lesion presenting difficulty in differential diagnosis between a tumor in the lateral segment of the liver and a gastric submucosal tumor (SMT) was found in a 59-year-old man with chronic hepatitis B. For differential diagnosis between the 2 lesions, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) was performed. EUS showed a tumor exhibiting a mosaic pattern with a halo derived from the lateral segment of the hepatic left lobe in contact with the stomach. FNA using the cell block technique revealed findings consistent with HCC. No examination-associated complications developed. In patients with HCC that is in contact with the stomach and shows extrahepatically protruding growth, which is difficult to differentiate from gastric SMT, EUS-FNA is a method worthy of trying.

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