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Fontan Liver Lesions: Not Always HCC
Christiane Haeffele1,2, Avin Aggarwal3, Glen Lutchman3
1Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Palo Alto, California.
Abstract:
A 24-year-old Fontan procedure patient underwent surveillance liver cardiac magnetic resonance imaging. Findings were suggestive of hepatocellular carcinoma (HCC). Currently, HCC is diagnosed based on imaging alone. Given her otherwise reassuring clinical profile, she underwent liver biopsy. Pathology demonstrated focal nodular hyperplasia. This raises concern for overdiagnosis of HCC in Fontan patients without tissue confirmation. (Level of Difficulty: Advanced.).
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