Liver CT Appearances

Fibrolamellar Hepatoma CT Findings

• Large, well defined heterogeneous lesions (>7cm)
• May have lobulated outline or may be ill defined
• Hypoattenuating but may be hypervascular
• Roughly half have calcification
• Often has central stellate scar

Other Information About Fibrolamellar Hepatoma

Etiology:

• Unknown

Epidemiology:

• Very rare
• Typically found in patients between adolescence and age 40
• More common in patients with European ancestry
• Slightly more common in males

Presentation:

• Generally asymptomatic
• Abdominal pain
• Weight loss
• Malaise

Prognosis:

• Fibrolamellar hepatoma can be resected in its early stages
• General prognosis is unknown because incidence is so rare

Related Pearls: Hepatoma