Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report

Abstract Background Ring calcification in hepatocellular carcinoma is extremely rare. Untreated hepatocellular carcinoma occasionally includes calcified lesions. Here, we report a case of ring-calcified hepatocellular carcinoma. Case presentation A 60-year-old man with a hepatic tumor was referred t...

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Main Authors: Yutaro Matsunaga, Shunichi Ariizumi, Go Shibuya, Shuichiro Uemura, Takaaki Kato, Takehisa Yazawa, Shingo Yamashita, Akiko Omori, Ryota Higuchi, Yutaka Takahashi, Yoshihito Kotera, Hiroto Egawa, Masakazu Yamamoto
Format: Article
Language:English
Published: Japan Surgical Society 2020-07-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-020-00927-5
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author Yutaro Matsunaga
Shunichi Ariizumi
Go Shibuya
Shuichiro Uemura
Takaaki Kato
Takehisa Yazawa
Shingo Yamashita
Akiko Omori
Ryota Higuchi
Yutaka Takahashi
Yoshihito Kotera
Hiroto Egawa
Masakazu Yamamoto
author_facet Yutaro Matsunaga
Shunichi Ariizumi
Go Shibuya
Shuichiro Uemura
Takaaki Kato
Takehisa Yazawa
Shingo Yamashita
Akiko Omori
Ryota Higuchi
Yutaka Takahashi
Yoshihito Kotera
Hiroto Egawa
Masakazu Yamamoto
author_sort Yutaro Matsunaga
collection DOAJ
description Abstract Background Ring calcification in hepatocellular carcinoma is extremely rare. Untreated hepatocellular carcinoma occasionally includes calcified lesions. Here, we report a case of ring-calcified hepatocellular carcinoma. Case presentation A 60-year-old man with a hepatic tumor was referred to Tokyo Women’s Medical University Hospital. He had a history of chronic hepatitis C. Computed tomography showed a liver tumor 20 mm in diameter in segment 6 of the Couinaud classification, with ring calcification. Based on this uncommon imaging presentation and the patient’s past exposure to the definitive hosts of Echinococcus multilocularis, he was preoperatively diagnosed with echinococcosis. Partial hepatectomy was performed as a radical treatment for echinococcosis. A final diagnosis of hepatocellular carcinoma was confirmed based on pathological findings. The patient was discharged uneventfully. Conclusion The presentation of an extremely rare hepatocellular carcinoma with ring calcification may be disguised as hydatid disease.
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issn 2198-7793
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publishDate 2020-07-01
publisher Japan Surgical Society
record_format Article
series Surgical Case Reports
spelling doaj-art-eba64bc7ee76460dbe69433bc790e9cb2025-08-20T02:51:46ZengJapan Surgical SocietySurgical Case Reports2198-77932020-07-01611510.1186/s40792-020-00927-5Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case reportYutaro Matsunaga0Shunichi Ariizumi1Go Shibuya2Shuichiro Uemura3Takaaki Kato4Takehisa Yazawa5Shingo Yamashita6Akiko Omori7Ryota Higuchi8Yutaka Takahashi9Yoshihito Kotera10Hiroto Egawa11Masakazu Yamamoto12Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityDepartment of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical UniversityAbstract Background Ring calcification in hepatocellular carcinoma is extremely rare. Untreated hepatocellular carcinoma occasionally includes calcified lesions. Here, we report a case of ring-calcified hepatocellular carcinoma. Case presentation A 60-year-old man with a hepatic tumor was referred to Tokyo Women’s Medical University Hospital. He had a history of chronic hepatitis C. Computed tomography showed a liver tumor 20 mm in diameter in segment 6 of the Couinaud classification, with ring calcification. Based on this uncommon imaging presentation and the patient’s past exposure to the definitive hosts of Echinococcus multilocularis, he was preoperatively diagnosed with echinococcosis. Partial hepatectomy was performed as a radical treatment for echinococcosis. A final diagnosis of hepatocellular carcinoma was confirmed based on pathological findings. The patient was discharged uneventfully. Conclusion The presentation of an extremely rare hepatocellular carcinoma with ring calcification may be disguised as hydatid disease.http://link.springer.com/article/10.1186/s40792-020-00927-5HCC, Calcification, Ring calcification, Rim calcification, CT findings, Echinococcosis, Hydatid disease
spellingShingle Yutaro Matsunaga
Shunichi Ariizumi
Go Shibuya
Shuichiro Uemura
Takaaki Kato
Takehisa Yazawa
Shingo Yamashita
Akiko Omori
Ryota Higuchi
Yutaka Takahashi
Yoshihito Kotera
Hiroto Egawa
Masakazu Yamamoto
Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
Surgical Case Reports
HCC, Calcification, Ring calcification, Rim calcification, CT findings, Echinococcosis, Hydatid disease
title Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
title_full Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
title_fullStr Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
title_full_unstemmed Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
title_short Hepatocellular carcinoma with ring calcification mimicking hydatid disease: a case report
title_sort hepatocellular carcinoma with ring calcification mimicking hydatid disease a case report
topic HCC, Calcification, Ring calcification, Rim calcification, CT findings, Echinococcosis, Hydatid disease
url http://link.springer.com/article/10.1186/s40792-020-00927-5
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