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Occult hepatocellular carcinoma in cirrhosis: Value of ultrasound-guided biopsy of portal vein system thrombus

✍ Scribed by Jean-Paul Joly; Jacques Delamarre; Arilaza Razafimahaleo; Henri Sevestre; Hervé Tossou; Jean-Pierre Capron


Publisher
Springer
Year
1993
Tongue
English
Weight
884 KB
Volume
18
Category
Article
ISSN
0942-8925

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✦ Synopsis


We report two cases of occult hepatocellular carcinoma associated with alcoholic cirrhosis, in which the diagnosis of malignancy was respectively established by ultrasound-guided biopsy of umbilical vein and portal vein branch thrombus. When measurement of serum alpha-foetoprotein, and liver ultrasonography and/or computed tomography failed to clearly demonstrate hepatocellular carcinoma, the presence of a thrombosis of the portal vein system is highly suggestive of malignancy, which may be easily confirmed by venous biopsy.