Atypical Clinical and Imaging Presentation of a Large, Well-Differentiated Hepatocellular Carcinoma (HCC)

[Original]Hepatocellular carcinoma (HCC) is the most common primary neoplasm of liver, which arises from parenchymal cells liver.1 Hepatocellular usually develops in setting chronic background liver disease, such as cirrhosis or hepatitis B C infection. The diagnosis HCC relies heavily on diagnostic imaging, and high sensitivity specificity Liver Imaging Reporting Data System (LI-RADS) classification system allows for clinical decisions to be made based imaging appearance alone.2 However, systems LI-RADS rely lesions following multistep progression dysplastic nodule large, de-differentiated a step-wise fashion.3 In this case report, we will discuss an atypical well-differentiated hepatocellular with features, presented asymptomatic young patient no known disease. [Updated]Hepatocellular classically presents disease. present was detected 43-year-old man underlying We review features mass, did not follow typical enhancement characteristics defined by criteria. ultimately confirmed surgical resection pathologic analysis.