医学
肝细胞癌
多模态
放射科
病理
内科学
语言学
哲学
作者
Roberto Cannella,Adele Taibbi,Giorgia Porrello,Marco Dioguardi Burgio,Giuseppe Cabibbo,Tommaso Vincenzo Bartolotta
出处
期刊:Diagnostic and interventional radiology
[AVES Publishing Co.]
日期:2020-11-05
卷期号:26 (6): 531-540
被引量:11
标识
DOI:10.5152/dir.2020.19569
摘要
Hepatocellular carcinoma (HCC) is frequently associated with macrovascular invasion of the portal vein or hepatic veins in advanced stages. The accurate diagnosis of macrovascular invasion and the differentiation from bland non-tumoral thrombus has significant clinical and management implications, since it narrows the therapeutic options and it represents a mandatory contraindication for liver resection or transplantation. The imaging diagnosis remains particularly challenging since the imaging features of HCC with macrovascular invasion may be subtle, especially in lesions showing infiltrative appearance. However, each radiologic imaging modality may provide findings suggesting the presence of tumor thrombus rather than bland thrombus. The purpose of this paper is to review the current guidelines and imaging appearance of HCC with macrovascular invasion. Knowledge of the most common imaging features of HCC with macrovascular invasion may improve the diagnostic confidence of tumor thrombus in clinical practice and help to guide patients' management.
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