Letters Focal liver lesions

Algorithm for investigating focal liver lesions doesn’t apply to patients at high risk of hepatocellular carcinoma

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2558 (Published 10 April 2012) Cite this as: BMJ 2012;344:e2558
  1. Richard J Aspinall, consultant hepatologist1
  1. 1Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK
  1. richard.aspinall{at}porthosp.nhs.uk

I was surprised that Patel and colleagues’ article on focal liver lesions in a patient with apparent chronic liver disease did not discuss hepatocellular carcinoma (HCC) or intrahepatic cholangiocarcinoma.1

Several of the authors’ statements deserve clarification. Firstly, an ultrasound scan suggestive of fatty infiltration in a South …

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