Ultrasonografi (USG)

• Hepar normal
• Ultrasound of normal liver. Transverse scan across the porta
hepatis. Ao, aorta; IVC, inferior vena cava; PV, portal vein.
• Ultrasound of normal liver. Transverse scan through the superior portion
of the liver showing the right (R), middle (M) and left (L) hepatic veins
draining into the inferior vena cava (IVC) as it penetrates the diaphragm
(D).
• Ultrasound of solid mass. Longitudinal scan. The cursors
indicate an echogenic mass. D, diaphragm; IVC, inferior vena
cava
A. This well
encapsulated HCC
has a hiperechoic
center.
B. Eight weeks later
after
chemotherapy,
less echogenic
centrally.
CT Scan
• CT scan of the normal liver through the porta
hepatis (enhanced scan). A, aorta; C, colon;
IVC, inferior vena cava; K, kidney; P, portal
vein; Sp, spleen; St, stomach; single arrow
fissure for falciform ligament, double arrow fi
ssure for gallbladder which divides liver into
right and left lobes.
• Hepatoma. The CT scan shows a large mass of variable density
(arrows).
• HCC with massive necrosis - This enhanced CT scan
of that has undergone massive necrosis
demonstrates a cystic appearance. Higher density
(arrows) indicates this is not a simple cyst.
Angiografi
MRI
• Normal T2-weighted MRI scan of the upper
abdomen. The liver parenchyma (L) shows
intermediate signal intensity. The CSF has high
signal intensity (arrow). A, aorta; C, splenic
flexure of colon; Sp, spleen; St, stomach; P,
pancreas; K, kidney
 Pengobatan
• HCC Stadium 1 dan 2
– Eksisi Bedah
– Strategi Ablasi Lokal
– Terapi Injeksi Lokal
– Transplantasi Hepar
– Terapi Adjuvant
• HCC Stadium 3 dan 4
– Kemoterapi sistemik
– Kemoterapi Regional