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![Three primary malignancies in 17 years in a man with chronic hepatitis B](https://image.oaes.cc/07413abb-a15a-493c-9af7-c16e235bf491/3119.fig.1.jpg)
Figure 1. First diagnosis and treatment of hepatocellular carcinoma in 2004. The image from the celiac axis arteriogram in 2004 (A) shows a hyperenhancing lesion (arrow) corresponding to the hepatocellular carcinoma in segment 8; The axial T1-weighted fat-suppressed precontrast image (B) following chemoembolization shows the lesion (arrow) which fails to enhance on the subsequent postcontrast image (C); The longitudinal ultrasound image (D) shows the hypoechoic treated lesion (marked by calipers) with intralesional echogenic foci, likely reflecting posttreatment changes