Year 2020 / Volume 112 / Number 8
Letter
Hepatocarcinoma diagnosis. Reflection is required

667-668

DOI: 10.17235/reed.2020.6845/2019

Andrea Illán Varela,

Abstract
The editorial published in this same journal entitled "Sombras del tratamiento actual del hepatocarcinoma en España: una verdad incómoda" has awakened the need to review the available scientific literature on the precise diagnosis of hepatocarcinoma based on a clinical case. A 58-year-old male patient has a radiological finding in the left hepatic lobe of a new lesion of 3.5 cm in size. Nuclear magnetic resonance imaging and computerized axial tomography confirmed the typical radiological behavior of hepatocarcinoma. However, the definitive pathological anatomy (A-P) after surgery was compatible with intrahepatic cholangiocarcinoma. The main national and international clinical guides offer the use of imaging tests for diagnosis, especially in high-risk patients. However, diagnostic biopsy is not included as mandatory in the hepatocarcinoma diagnostic process, although it may be recommended in some cases. The interest of the clinical case we present establishes the relevance of reaching a histological diagnosis of certainty, since imaging tests can objectify findings that are confusing with other tumor histologies, with future therapeutic and prognostic implications
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References
1. Crespo J, Andrade RJ. Sombras del tratamiento actual del hepatocarcinoma en España: una verdad incómoda. Rev Esp Enferm Dig. 2019 Vol 11 (10): 727-30.
2. Gallego J. Cáncer de hígado. Seom web. Febrero 2017.
3. Benson AB et al. NCCN Guidelines Carcinoma Hepatocellular. Version 3.2019.
4. Viven A et al. Hepatocellular Carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol (2018) 29 (4): 238–55.
5. Galle PR et al. EASL Clinical Practice Guidelines: Management of hepatocellular carcinoma. Journal of Hepatology. July 2018 Vol 69(1):182–236.
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Illán Varela A. Hepatocarcinoma diagnosis. Reflection is required. 6845/2019


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Publication history

Received: 22/12/2019

Accepted: 10/01/2020

Online First: 20/07/2020

Published: 30/07/2020

Article Online First time: 211 days

Article editing time: 221 days


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