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Fig. 5A 71-year-old man with radiofrequency-treated hepatocellular
carcinoma in unenhanced sonography group. After ablation, tumor was enlarged
with suspected recurrence. Serum
-fetoprotein value was 0.815 ng/mL.
Initial biopsy guided by conventional sonography was negative.
Contrast-enhanced sonograms obtained after ablation during arterial phase
(A) and parenchymal phase (B) show 3.3 x 2.4 cm abnormal
enhancement in lesion (arrow). Area of enhancement (arrow,
A) in arterial phase washed out quickly in parenchymal phase
(arrow, B). However, postablation lesion was not enhanced and
presented as hypoechoic during all phases (arrowhead). Area of
enhancement was punctured again, and well-differentiated hepatocellular
carcinoma was diagnosed.