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Diagnosis and Treatment of Hepatocellular Carcinoma

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Presentation on theme: "Diagnosis and Treatment of Hepatocellular Carcinoma"— Presentation transcript:

1 Diagnosis and Treatment of Hepatocellular Carcinoma
Hashem B. El-Serag, Jorge A. Marrero, Lenhard Rudolph, K. Rajender Reddy  Gastroenterology  Volume 134, Issue 6, Pages (May 2008) DOI: /j.gastro Copyright © 2008 AGA Institute Terms and Conditions

2 Figure 1 MRI features of HCC. The left top panel shows an arterial phase MRI examination of the liver and an enhancing mass in the right lobe, which further intensifies in the left bottom panels indicated by the arrowheads. The right top panel shows a 2-minute delayed MRI examination that shows the mass in the right lobe, but this is hypointense compared with the rest of the liver as well as when compared with the arterial phase. This is the phenomenon of washout of contrast. The right lower panel shows a 5-minute examination that highlights washout of contrast in the delayed phase compared with the arterial phase examination. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

3 Figure 2 A proposed algorithm for treatment of HCC (adapted from BCLC algorithm)103 PS, performance status; OLT, orthotopic liver transplantation; PEI, percutaneous ethanol injection; RFA, radiofrequency ablation. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

4 Figure 3 Percutaneous ablation of HCC using radiofrequency.
Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

5 Hashem B. El–Serag Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

6 Jorge A. Marrero Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

7 Lenhard Rudolph Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions

8 K. Rajender Reddy Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2008 AGA Institute Terms and Conditions


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