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  • Title: Incidental finding of a hepatic lesion: differential diagnostic problems for fibrolamellar hepatic carcinoma.
    Author: Reuland P, Aicher KP, Brambs HJ, Enderle G, Feine U, Gärtner HV, Weber P.
    Journal: J Nucl Med; 1994 Aug; 35(8):1342-6. PubMed ID: 8046491.
    Abstract:
    We report the case of a 39-yr-old female with a liver lesion that was incidentally detected by ultrasound. Examination of biopsy specimens revealed focal nodular hyperplasia. A metastatic tumor in the right os ilium developed in the following weeks and showed specific uptake of 99mTc-hepatic 2,6-dimethyliminodiacetic acid (HIDA), suggesting metastasis from a differentiated hepatocellular carcinoma. The final pathologic diagnosis was multifocal, solid and glandular hepatocellular carcinoma, partly differentiated as fibrolamellar carcinoma, and an osseous metastasis from the differentiated hepatocellular carcinoma.
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