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Imaging of multistep human hepatocarcinogenesis
Authors:Osamu Matsui  Tosifumi Gabata  Satoshi Kobayashi  Noboru Terayama  Junn-ichiro Sanada  Wataru Kouda  Hiroko Kawashima
Institution:Department of Imaging Diagnosis and Interventional Radiology, Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medical Science
Abstract:In Japan, there are approximately 32 000 deaths (~30 deaths per 100 000) per year due to hepatocellular carcinoma (HCC), and it is the third most common cancer in men and fifth in women. Approximately 90% of them are associated with chronic liver diseases due to hepatitis C or B virus infection. Therefore, it has become possible to detect small early stage HCC by the periodic screening in these high-risk patients group. During the screening imaging diagnosis of HCC, various kinds of hepatocellular nodules are also frequentlydetected. To characterize them is very important for the early diagnosis and treatment of HCC. For this purpose, it is necessary to understand the concept of multistep hepatocarcinogenesis and the sequential changes of imaging findings.
Keywords:hepatocellular carcinoma (HCC)  multistep hepatocarcinogenesis  dysplastic nodule  early HCC  CT during arterial portography  CT during hepatic arteriography  MR imaging
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