A male patient 53 year-old with tumor in right lobe of liver and negative WAKO tests.
Ultrasound notes a 55x42 mm liver tumor in segment 7, nearly homogeneous, well-limited, poor vascularised and elastographic ultrasound SWE harder 5-fold than hepatic parenchyma: 29 kPa in comparison to 6.3 kPa.
MRI with Primovist confirms a 50 milimeter clear cell HCC (CCHCC). T2 CE captured signals are higher than liver parenchyma and lower than on T1.
Biopsy results of tumor is an HCC well differentiazed.
Hepatocellular carcinoma (HCC) is a common cancer world-wide with a higher incidence in Asia. Clear cell variant of HCC (CCHCC) has a frequency ranging from 0.4% to 37%. The presence of 90-100% clear cells is rare.