Skip to main content

Hepatocellular Carcinoma (HCC) with Portal Vein Invasion, Masquerading as Pancreatic Mass, Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA)

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3


  1. Fattovich G, Stroffolini T, Zagni I, Donato F (2004) Hepatocellular carcinoma in cirrhosis: incidence and risk factors. Gastroenterolgy 127:S35–S50

    Article  Google Scholar 

  2. Kurtovic J, Van Der Wall H, Riordan SM (2005) FDG PET for discrimination between tumor extension and blood thrombus as a cause for portal vein thrombosis in hepatocellular carcinoma: important role in exclusion of transplant candidacy. Clin Nucl Med 30(6):408–410

    PubMed  Article  Google Scholar 

  3. Khorana AA, Fine RL (2004) Pancreatic cancer and thromboembolic disease. Lancet Oncol 5(11):655–663

    PubMed  Article  CAS  Google Scholar 

  4. Barone D, Onetto M, Conio M, Paganuzzi M, Saccomanno S, Aste H, Pugliese V (1988) CA 19-9 assay in patients with extrahepatic cholestatic jaundice. Int J Biol Markers 3(2):95–100

    PubMed  CAS  Google Scholar 

  5. Fabris C, Basso DA, Leandro G, Meggiato T, Elba S, Panozzo MP, Del Favero G, Fogar P, Di Mario F, Naccarato R (2001) Serum CA 19-9 and alpha-fetoprotein levels in primary hepatocellular carcinoma and liver cirrhosis. Cancer 68(8):1795–1798

    Article  Google Scholar 

  6. Sherman M (2001) Alpha-fetoprotein: an obituary. J Hepatol 34:603–605

    PubMed  Article  CAS  Google Scholar 

  7. Bruno D, Bencivenga A, Menga S, Tinessa V (2004) Alpha-fetoprotein and ultrasonography screening for hepatocellular carcinoma. Gastroenterology 127:S108-S112

    Google Scholar 

  8. Yang L, Lin LW, Lin XY, et al. (2005) Ultrasound-guided needle aspiration biopsy in differential diagnosis of portal vein tumor thrombosis. Hepatobil Pancreat Dis Int 4(2):243–248

    Google Scholar 

  9. Hollerbach S, Reiser M, Topalidis T, Konig M, Schmiegel W (2003) Dignosis of hepatocellular carcinoma (HCC) in a high-risk patient by using transgastric EUS-guided fine needle biopsy (EUS-FNA). Z Gastroenterol 41:995–988

    PubMed  Article  CAS  Google Scholar 

  10. Nguyen P, Feng JC, Chang KJ (1999) Endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration (FNA) of liver lesions. Gastrointest Endosc 50(3):357–361

    PubMed  Article  CAS  Google Scholar 

  11. tenBerge J, Hoffman BJ, Hawes RH, Van Enckevort C, Giovannini M, Erickson RA, Catalano MF, Fogel R, Mallery S, Faigel DO, Ferrari AP, Waxman I, Palazzo L, Ben-Menachem T, Jowell PS, McGrath KM, Kowalski TE, Nguyen CC, Wassef WY, Yamao K, Chak A, Greenwald BD, Woodward TA, Vilmann P, Sabbagh L, Wallace MB (2002) EUS-guided fine needle aspiration of the liver: indications, yield, and safety based on an international survey of 167 cases. Gastrointest Endosc 55(7):859–862

    PubMed  Article  Google Scholar 

  12. Lai L, Brugge WR (2004) Endoscopic ultrasound is a sensitive and specific test to diagnose portal venous system thrombosis (PVST). Am J Gastroenterol 99lin(1):40–44

    Article  Google Scholar 

  13. Lai R, Stephens V, Bardales R (2004) Diagnosis and staging of hepatocellular carcinoma of by EUS-FNA of a portal vein thrombus. Gastrointest Endosc 59(4):574–577

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Afonso Ribeiro.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Storch, I., Gomez, C., Contreras, F. et al. Hepatocellular Carcinoma (HCC) with Portal Vein Invasion, Masquerading as Pancreatic Mass, Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA). Dig Dis Sci 52, 789–791 (2007).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


  • Pancreatic mass
  • Hepatocellular carcinoma