Successful Surgical Resection for Peritoneal Implantation of Hepatocellular Carcinoma at the Paracardial Portion

Figure 1

Preoperative findings. CT shows a heterogenous mass ((a)–(c), arrow), 9 cm in diameter adjacent to the remnant liver (a), displacing the IVC (b) and the pericardium (c). Angiography shows that the remnant liver is supplied by the left hepatic artery (d). Selective angiograms show a hypervascular tumor supplied from the descending branch of the inferior phrenic artery (IPA) (e) and the phrenic branch of the internal mammary artery (IMA) (f).

(a)

(b)

(c)

(d)

(e)

(f)