The hepatocellular carcinoma (HCC) is the most frequent primary liver cancer and its prevalence is rising with a modest improve in survival in the last years. This tumor is an important cause of cancer-related death worldwide. Chronic liver diseases are risk factors in development of this tumor and the final stage of fibrosis, cirrhosis, is often the context of HCC diagnosis. The early diagnosis is the endpoint of radiologic tests like ultrasound, computerized tomography (CT) and magnetic resonance imaging.The recurrence outside the liver is still a less studied topic with sub optimal imaging exams accuracy. This case report presents a 60 year old male who had a nodal recurrence of hepatocellular carcinoma diagnosed by FDG-PET scan and confirmed by the histopathological analysis. The aim of this case report describes and demonstrates how the nuclear medicine can help in the metastasis scenario of HCC diagnosis recurrence after curative resection surgery.
Pollo-Flores P*, Leal CRG, Carvalho A, Roever L, Pacheco LFP, Balbi E and Mesquita CT