Spontaneous Total Necrosis of Hepatocellular Carcinoma

Kim, Na Ra; Kim, Young Jun; Jeong, Jun Yong; Lee, Kyoung Ho; Kim, Se Hyung; Kim, Hyo Cheol; Han, Joon Koo; Choi, Byung Ihn; Lee, Hye Seung; Lee, Gyung Kyu

doi:10.3348/jkrs.2003.48.2.177

J Korean Radiol Soc. 2003 Feb;48(2):177-179. Korean.
Published online Mar 09, 2016.
https://doi.org/10.3348/jkrs.2003.48.2.177

Original Article

Spontaneous Total Necrosis of Hepatocellular Carcinoma

Na Ra Kim, Young Jun Kim, Jun Yong Jeong, Kyoung Ho Lee, Se Hyung Kim, Hyo Cheol Kim, Joon Koo Han, Byung Ihn Choi, Hye Seung Lee and Gyung Kyu Lee

Author information

Author notes

Copyright and License

- Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Korea.
- Department of Pathology, Seoul National University College of Medicine, Korea.
Email: choibi@radcom.snu.ac.kr

Abstract

We describe a case of spontaneous total necrosis of hepatocellular carcinoma (HCC). Contrast-enhanced CT scanning revealed a hypoattenuating mass during both the hepatic arterial and portal venous phase. During the latter, subtle capsular enhancement was noted. Ultrasonography demonstrated the presence of a hypoechoic mass with a peripheral hyperechoic rim. The patient underwent tumorectomy, and a totally necrotic mass was found. Microscopic examination revealed necrotic tissue with HCC ghost cells, suggesting spontaneous total necrosis of HCC.

Keywords

Liver; Hepatocellular carcinoma; Necrosis