Abstract
A 75 year-old male with a history of diabetes was referred to our hospital to confirm the diagnosis for a hepatic mass in the caudate lobe, pointed out incidentally on a CT scan.
The patient was admitted and underwent endoscopic ultrasound. From the stomach, the caudate lobe could be visualized, and endoscopic ultrasound-guided aspiration (EUS-FNA) was successfully performed. Histopathology results showed hepatocellular carcinoma (HCC) .
EUS-FNA is widely used as a reliable method to make correct diagnoses for pancreatic tumor, and retroperitoneal / mediastinal lymphadenopathy. However, there have only been a few reports on EUS-FNA for the liver, particularly on the caudate lobe. In this case, we report that EUS-FNA for hepatic tumor is feasible, and technically easy, even for the caudate lobe.
We conclude that EUS-FNA for hepatic tumor is feasible, and possibly useful as a complementally approach to be used in place of percutaneous liver biopsy.
