Abstract
Hepatocellular carcinoma usually arises in a cirrhotic liver. Multiple hepatic nodules in a non-cirrhotic liver are more likely to be metastatic. The primary focus commonly arises from the gastrointestinal tract, breast or lung, but in the absence of these a primary liver pathology must be considered. The case is reported of a middle-aged woman presenting with multiple nodules on computed tomography with no clinically apparent primary for whom results of initial diagnostic investigations were potentially misleading.
MeSH terms
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Adult
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Antibodies, Monoclonal*
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Carcinoma, Hepatocellular / chemistry
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Carcinoma, Hepatocellular / diagnosis*
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Carcinoma, Hepatocellular / pathology
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Diagnosis, Differential
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Female
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Humans
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Immunohistochemistry / methods*
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Liver Neoplasms / chemistry
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Liver Neoplasms / diagnosis*
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Liver Neoplasms / secondary
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Neoplasm Proteins / analysis*
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Neoplasm Proteins / immunology
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Thyroid Neoplasms / chemistry
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Thyroid Neoplasms / diagnosis*
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Thyroid Neoplasms / pathology
Substances
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Antibodies, Monoclonal
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Neoplasm Proteins