Contrast-Enhanced Ultrasound Successfully Diagnoses a Rare Case of Coexisting Colorectal Cancer Liver Metastasis and Hepatocellular Carcinoma: A Case Report.

IF 1.3 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2026-10-01 Epub Date: 2026-05-31 DOI:10.1002/jcu.70279

Jiahui Peng, Yajuan Sui, Renjie Li, Junfeng Zhu, Danni He, Wenyi Meng, Zuofeng Xu

引用次数: 0

Abstract

Colorectal cancer liver metastasis (CRLM) with concomitant hepatocellular carcinoma (HCC) in a single patient has not been previously reported. We present a case of a 57-year-old Asian male with a rectal mass and synchronous, radiologically distinct multiple liver lesions. Contrast-enhanced ultrasound (CEUS) characterized the liver lesions as suggestive of both CRLM and concomitant HCC, which was later histologically confirmed by ultrasound-guided biopsy. This case underscores the significant diagnostic value of CEUS in differentiating complex multifocal liver lesions and the critical role of targeted biopsy for definitive diagnosis.

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超声造影成功诊断结直肠癌、肝转移及肝细胞癌1例。

结直肠癌肝转移（CRLM）合并肝细胞癌（HCC）在单个患者中尚未报道。我们报告一个57岁的亚洲男性直肠肿块和同步，放射学上明显的多发性肝脏病变的病例。对比增强超声（CEUS）显示肝脏病变提示CRLM和合并HCC，随后通过超声引导活检组织学证实。该病例强调了超声造影在鉴别复杂的多灶性肝脏病变中的重要诊断价值，以及靶向活检在明确诊断中的关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.