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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.
JACC. Case Reports
|July 28, 2021
Summary
Surveillance imaging may overestimate hepatocellular carcinoma (HCC) in Fontan procedure patients. Liver biopsy is crucial for accurate diagnosis, preventing overdiagnosis of HCC in this population.
Area of Science:
- Cardiovascular Medicine
- Hepatology
- Pediatric Cardiology
Background:
- Fontan procedure patients require lifelong surveillance for potential liver complications.
- Hepatocellular carcinoma (HCC) is a known risk in this cohort.
- Current diagnostic standards for HCC rely heavily on imaging findings.
Keywords:
AASLD, American Association for Study of Liver DiseaseAFP, alpha-fetoproteinALT, lanine aminotransferaseAST, aspartate aminotransferaseAV, atrioventricularCT, computed tomographyFALD, Fontan associated liver diseaseFNH, focal nodular hyperplasiaGS, glutamine synthetaseHCC, hepatocellular carcinomaINR, international normalized ratioMRI, magnetic resonance imagingUS, ultrasoundawarenesscongenital heart defectcyanotic heart diseaseimagingtreatmentRelated Concept Videos
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