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British Journal of Radiology (2005) 78, 841-844
© 2005 British Institute of Radiology
doi: 10.1259/bjr/37052159
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Case report

Hepatocellular carcinoma tumour thrombus in a re-canalised para-umbilical vein: detection by 18-fluoro-2-deoxyglucose positron emission tomography imaging

C J Beadsmoore, MRCP, FRCR 1 H K Cheow, MRCP, FRCR 1 E Sala, PhD, FRCR 2 D J Lomas, FRCP, FRCR 2 P Gibbs, FRCS 3 V Save, MBChB, MRCPath 4 M E D Alison, MRCP 5 and K K Balan, MD, FRCP 1

Departments of 1 Nuclear Medicine, 2 Radiology, 3 Surgery, 4 Pathology and 5 Hepatology, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK

Correspondence: Dr K K Balan, Department of Nuclear Medicine, Box 170, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK

This case report describes an unusual site of tumour thrombus in a re-canalised para-umbilical vein, in a patient with hepatocellular carcinoma (HCC) and cirrhosis. The tumour thrombus was suspected on conventional radiography and confirmed using PET imaging, illustrating the complimentary value of structural and functional imaging in achieving the correct diagnosis.






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