Hepatocellular carcinoma with pyrexia: report of a case

Radiat Med. 1995 May-Jun;13(3):133-6.

Abstract

Reported here is a case of an unusual type of hepatocellular carcinoma (HCC). Since this patient with liver mass exhibited continuous pyrexia, an inflammatory pseudotumor or abscess was strongly suspected. Two-phased incremental CT, MR with and without Gd-DTPA administration, and angiography demonstrated peripheral enhancement of the hepatic mass. Histologically, the tumor proved to be HCC with sarcomatoid degeneration. When one encounters a patient with a mass clinically and radiologically mimicking an inflammatory pseudotumor or an abscess, poorly differentiated HCC with sarcomatoid degeneration should be suspected.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Hepatocellular / complications*
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / pathology
  • Diagnosis, Differential
  • Fever / etiology*
  • Granuloma, Plasma Cell / diagnosis
  • Humans
  • Liver / pathology
  • Liver Abscess / diagnosis
  • Liver Diseases / diagnosis
  • Liver Neoplasms / complications*
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / pathology
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed