Theme |
The New Guideline for Liver Cancer Treatment |
Title |
Surveillance and Diagnosis Algorithm for Hepatocellular Carcinoma |
Publish Date |
2018/06 |
Author |
Ryosuke Tateishi |
Department of Gastroenterology, Graduate School of Medicine The University of Tokyo |
[ Summary ] |
It is easy to identify the population at high risk of developing hepatocellular carcinoma (HCC). Surveillance for HCC has been widely performed in Japan in those with chronic viral hepatitis and non-viral cirrhosis using abdominal ultrasonography along with tumor-marker tests. When a nodule is found by ultrasonography, dynamic CT or MRI is recommended to make a differential diagnosis. Recently, Gd-EOB MRI has possibly helped in the diagnosis of the HCC nodules, which do not show early enhancement and late washout. |