Definitive Role of Contrast-enhanced Endoscopic Ultrasound (EUS) in the Diagnosis of Hepatocellular Carcinoma With Non-diagnostic Cross-sectional Imaging: A Case Report

Nikhil Sonthalia; Akash Roy; Surabhi Jajodia; Usha Goenka; Arpita Sutradhar; Awanish Tewari; Mahesh K Goenka

doi:10.1016/j.jceh.2023.101307

Definitive Role of Contrast-enhanced Endoscopic Ultrasound (EUS) in the Diagnosis of Hepatocellular Carcinoma With Non-diagnostic Cross-sectional Imaging: A Case Report

J Clin Exp Hepatol. 2024 May-Jun;14(3):101307. doi: 10.1016/j.jceh.2023.101307. Epub 2023 Nov 25.

Authors

Nikhil Sonthalia¹, Akash Roy¹, Surabhi Jajodia², Usha Goenka², Arpita Sutradhar³, Awanish Tewari¹, Mahesh K Goenka¹

Affiliations

¹ Department of Gastroenterology, Institute of Gastrosciences and Liver Transplantation, Apollo Multispeciality Hospitals, Kolkata, India.
² Department of Radiology and Imaging, Apollo Multispeciality Hospitals, Kolkata, India.
³ Department of Pathology, Apollo Multispeciality Hospitals, Kolkata, India.

PMID: 38235294
PMCID: PMC10790079 (available on 2025-05-01)
DOI: 10.1016/j.jceh.2023.101307

Abstract

The diagnosis of hepatocellular carcinoma is usually centered around cross-sectional imaging (CSI) modalities. However, in some instances focal hepatic lesions may be missed on CSI. Endoscopic ultrasound (EUS) has an evolving role in hepatology and have been shown to be useful in diagnosing focal lesions with advantages of tissue acquisition. We report a case hepatitis B-related cirrhosis presenting with acute decompensation, wherein EUS was used to identify HCC and perform tissue acquisition as CSI was non-diagnostic.

Keywords: EUS; HCC; liver SOL.

Publication types

Case Reports