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Case of the Day

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Hepatocellular carcinoma in a patient with alpha-1 antitrypsin deficiency

Contributed by Dr Bruno Di Muzio

The imaging features are those of a hypervascular tumour in a patient referred with a clinical history of both alpha-1 antitrypsin deficiency and haemochromatosis. The findings are highly concerning for a hepatocellular carcinoma. The patient went to surgical resection: 

Macroscopic Description: Labelled "Liver resection, Segment 5 & 6".  A wedge…

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