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Hepatocellular carcinoma: clinical and radiological findings in patients with chronic B viral hepatitis and chronic C viral hepatitis

Authors
Kim, KE; Park, MS; Bentley-Hibbert, S; Baek, SE; Kim, YC; Kim, MJ; Kim, KW; Auh, YH
Citation
Abdominal imaging, 37(4):591-594, 2012
Journal Title
Abdominal imaging
ISSN
0942-89251432-0509
Abstract
AIM: To compare clinical and radiological findings of newly diagnosed hepatocellular carcinomas (HCCs) in patients with chronic hepatitis B virus (HBV) and chronic hepatitis C virus (HCV) infections.



MATERIALS AND METHODS: Dynamic contrast-enhanced CT images in 532 patients with newly diagnosed HCC were retrospectively reviewed. Of these patients, 418 had chronic HBV infections and 114 had chronic HCV infections. The number, size, shape (nodular vs. non-nodular) and enhancement pattern (typical vs. atypical) of hepatic lesions were assessed. The presence of portal vein thrombosis and bile duct invasion were determined.



RESULTS: The mean age of the HBV group (54.31 [range 27-85], median 54) was younger than that of the HCV group (64.21 [range 30-86], median 64) (P 5; P < 0.001); larger than 5 cm (P = 0.023); non-nodular shape (P < 0.001); atypical enhancement pattern (P = 0.047), association with portal vein thrombosis (P = 0.004); association with bile duct invasion (P < 0.001).



CONCLUSIONS: Clinical and radiological findings of HCC differ between patients with HBV and HCV infections.
MeSH terms
AdultAgedAged, 80 and overBile Ducts/pathologyCarcinoma, Hepatocellular/complications/*diagnosis/pathology/radiographyFemaleHepatitis B, Chronic/*complicationsHepatitis C, Chronic/*complicationsHumansLiver Neoplasms/complications/*diagnosis/radiographyMaleMiddle AgedNeoplasm InvasivenessPrognosisRetrospective Studies
DOI
10.1007/s00261-011-9799-5
PMID
21910010
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
AJOU Authors
김, 영철
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