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Il Giornale Italiano di Radiologia Medica 2018 Luglio-Agosto;5(4):540-4
DOI: 10.23736/S2283-8376.18.00072-4
Copyright © 2018 EDIZIONI MINERVA MEDICA
language: Italian
Right adrenal space mass: a rare case of exophytic hepatocellular carcinoma
Francesca ROSA 1 ✉, Alessandro VALDATA 2, Francesco PINNA 2, Umberto G. ROSSI 2, Valentina CLAUDIANI 3, Ennio BISCALDI 3, Maurizio CARIATI 4, Gian A. ROLLANDI 3
1 Dipartimento di Scienze della Salute (DISSAL), Università di Genova, Genova, Italia; 2 Unità Operativa Semplice Dipartimentale di Radiologia Interventistica, E.O. Ospedale Galliera, Genova, Italia; 3 Unità Operativa Complessa di Radiologia, E.O. Ospedale Galliera, Genova, Italia; 4 Unità di Radiologia Interventistica, ASST Santi Paolo e Carlo, Presidio Ospedale San Carlo Borromeo, Milano, Italia
Hepatocellular carcinoma (HCC) has different growth patterns and, among these, exophytic pattern is quite rare (less than 3%). However, lack of awareness of this possibility can lead to severe diagnostical mistakes especially about the origin of the lesion itself. We discuss a case of exophytic HCC with extension into the adrenal space and we review the literature to familiarize with the possible differential diagnosis and the prognostic and therapeutic consequences of a correct diagnosis.
KEY WORDS: Carcinoma, hepatocellular - Diagnosis - Therapeutics