Fontan Liver Lesions: Not Always HCC

Fontan Liver Lesions: Not Always HCC

A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Patholo...

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Bibliographic Details
Main Authors: Christiane Haeffele, MD, MPH, Avin Aggarwal, MBBS, Glen Lutchman, MD, Gruschen R. Veldtman, MD, Fred M. Wu, MD, George K. Lui, MD
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:JACC: Case Reports
Subjects:
awareness
congenital heart defect
cyanotic heart disease
imaging
treatment
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919301184
Description
Summary:A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Pathology demonstrated focal nodular hyperplasia. This raises concern for overdiagnosis of HCC in Fontan patients without tissue confirmation. (Level of Difficulty: Advanced.)
ISSN:2666-0849

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