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J Gastrointest Cancer. 2010 Mar;41(1):2-5. doi: 10.1007/s12029-009-9094-7.

Fibrolamellar hepatocellular carcinoma: a case report with distinct radiological features.

Author information

  • 1Department of Radiology, AHEPA University Hospital, Thessaloniki, Greece. jterzis76@yahoo.com

Abstract

INTRODUCTION:

We report a rare case of a 23-year-old male who presented with abdominal discomfort for 15 days. An ultrasound was performed which showed a hypoechoic, heterogenous mass in the left lobe of the liver and distended portal vein, followed by further investigation with computed tomography (CT), MRI, and MRA. Serum alpha-fetoprotein was not elevated and hepatitis B antigen was negative.

METHODS:

CT scan depicted a nodular mass in left liver lobe with occlusion of both the central part and the two main branches of intrahepatic portal vein.

RESULT:

Biopsy of the liver mass led to a diagnosis of fibrolamellar hepatocellular carcinoma.

CONCLUSION:

Fibrolamellar carcinoma is an uncommon variant of hepatocellular carcinoma. The diagnosis is suggested by radiographic studies and is confirmed by histological examination.

PMID:
19960280
[PubMed - indexed for MEDLINE]
PMCID:
PMC2863050
Free PMC Article

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