Abstract
Article: Large Hepatocellular Carcinoma in an Essentially Asymptomatic Young Woman
Authors: Donald S. Hill, RDMS, RMSK, RT(R), and Jeffrey Hill, BS, RDMS
Category: Abdominal Sonography
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Large Hepatocellular Carcinoma in an Essentially Asymptomatic Young Woman,” you will be able to:
Determine the risk factors for hepatocellular carcinoma
Describe the sonographic characteristics of hepatocellular carcinoma at various stages of development
Correlate sonographic findings with computed tomographic images of hepatocellular carcinoma
Five-year survival for hepatocellular carcinoma with distant metastatic spread is approximately a. <5% b. 5%–10% c. 10%–20% d. 30%
Worldwide, hepatocellular carcinoma is the most common primary cancer of the liver and is the _________ most common neoplasm. a. First b. Third c. Fifth d. Sixth
In adults, hepatocellular carcinoma is typically associated with a. Hepatic fibrosis or biliary atresia b. Diabetes or pancreatitis c. Cirrhosis or pancreatitis d. Cirrhosis or viral hepatitis
Typical signs and symptoms of hepatocellular carcinoma include all except
a. Ascites b. Weight loss c. Constipation d. Fatigue
Five-year survival for localized hepatocellular carcinoma is approximately a. <5% b. 5%–10% c. 10%–20% d. 30%
Large, advanced hepatocellular carcinoma lesions typically have sonographic characteristics of a. Heterogeneous hypoechogenicity with a peripheral halo b. Heterogeneous hyperechogenicity with a peripheral halo c. Homogeneous hypoechogenicity with a peripheral halo d. Homogeneous hyperechogenicity with a peripheral halo
On computed tomography with contrast, characteristics of a large, advanced hepatocellular carcinoma lesion typically would include a. Early arterial phase peripheral enhancement with no late central filling b. Early arterial phase peripheral enhancement with late central filling c. Early arterial phase central enhancement with rapid late central washout d. Early arterial phase central enhancement with delayed late central washout
Sonographically, a small focal hepatocellular carcinoma will typically appear a. Hypoechoic b. Hyperechoic c. Isoechoic to surrounding normal liver d. With a heterogeneous echogenicity
Magnetic resonance imaging for the detection of hepatocellular carcinoma has historically been limited by a. The need for contrast b. High cost c. Contrast resolution d. The inability to detect small lesions
Treatment options for mid-stage hepatocellular carcinoma in nonsurgical candidates include a. Chemotherapy alone b. Ethanol injection or RF ablation c. Cryoablation or liver transplantation d. Chemotherapy or RF ablation
Footnotes