PMC9898843_01
Hypervascular masses in segment VII on arterial phase, followed by delayed washout. (A) Arterial phase, (B) Delayed phase, (C) Arterial phase, (D) Delayed phase. A and B & C and D are the same lesions, respectively
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FIG1
She had two hepatic lesions in segment VII, measuring approximately 25 mm and 10 mm, respectively, on CT scan arterial enhancement and portal venous washout (Figure 1). 
The tumor location is adjacent to the right hepatic vein
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FIG2
The tumors were close to the right hepatic vein (Figure 2) and extended right posterior sectionectomy was selected as the surgical technique.
The background liver is A1F3, and the tumors are moderately differentiated HCC, respectively. (A) 2.8x2.3 cm, simple nodular type, Fc(+), Fc-inf(-), Sf(+), sm(-, 0.1 mm). (B) 1.2x 0.9 cm, simple nodular type, Fc(-), Fc-inf(+), Sf(-), sm(-, 37 mm)
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FIG3
The peritumoral liver tissue showed stage F3 cirrhosis according to the new Inuyama classification (Figure 3). 
Recurrent tumor of S1. (A) Arterial phase, (B) Delayed phase
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FIG4
At seven months after surgery, HCC recurrence was detected in segment 1 (Figure 4) and the patient underwent transarterial chemoembolization (TACE) and radiofrequency ablation (RFA).
Tumor marker trends
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PMC9898843_01_cureus-0015-00000033382-i05.jpg
FIG5
Tumor marker trends are shown below (Figure 5).