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Imaging of Malignant Focal Liver Lesions

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MRI of the Liver

Abstract

Hepatocellular carcinoma (HCC) is the most common primary hepatic malignancy and one of the most prevalent visceral malignances worldwide [31]. HCC often occurs in patients with liver cirrhosis for which the cause is known (e.g. chronic viral hepatitis or alcoholism) [47]. However, whereas in Asia HCC occurs almost exclusively in patients with chronic liver damage from hepatitis, in North America many patients develop HCC without cirrhosis or known risk factors [100]. In these latter patients it is possible that steroid hormones may play a role in carcinogenesis, as tumors occurring in non-cirrhotic livers have been associated with the use of exogeneous steroids such as anabolic steroids and oral contraceptives, as well as with genetic factors [70]. Environmental and dietary factors are known to play major etiological roles, while aflatoxins, nitrosamines, and other chemical carcinogens have also been implicated in non-cirrhotic HCC [25, 32].

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Schneider, G., Grazioli, L., Saini, S. (2003). Imaging of Malignant Focal Liver Lesions. In: Schneider, G., Grazioli, L., Saini, S. (eds) MRI of the Liver. Springer, Milano. https://doi.org/10.1007/978-88-470-2946-0_5

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