Role of FNA and Core Biopsy of Primary and Metastatic Liver Disease
Figure 1
. History: 60 year-old male with cirrhosis due to hepatitis B with AFP of four. Surgically resected HCCs. Initial MRI demonstrates the following. (a) TI weighted fat suppressed LAVA base scan shows region of decreased signal intensity (arrow). (b) Post gadolinium enhanced MRI in arterial phase shows encapsulated enhancing mass in the left in the lobe of the liver (arrow). (c) After gadolinium in portal venous phase, there is a central wash-out with well-defined capsule (arrow). (d) Fine needle aspiration was deemed suspicious for well differentiated HCC but could not exclude adenoma. The cell block shows groups of hepatocytes forming a thickened trabecular pattern lined by endothelial cells. The hepatocytes have increased nuclear/cytoplasmic (N : C) ratio and occasional prominent nucleoli. (e) After resection of the mass the CT shows surgical clips. Pathology revealed well differentiated HCC.
