Abstract

FERREIRA POZZI, Martín et al. Fibrolamellar hepatocarcinoma. Presentation of a clinical case. Rev. Méd. Urug. [online]. 2020, vol.36, n.2, pp.184-197.  Epub June 01, 2020. ISSN 0303-3295.  https://doi.org/10.29193/rmu.36.2.9.

Fibrolamellar hepatocellular carcinoma is a rare entity that represent between 1% to 5% of all hepatocarcinomas. Tipically affects younger patients (10 to 30 year of age) of both sexes, without underlying liver disease. In 50% of the cases the diagnosis is made in advanced stages of the disease. We present the case of a male patient of 15 years of age, healthy, who consulted due to an abdominal tumor of 3 months evolution, epigastric pain and weight loss. The imaging studies report a tumor that replaces the left lobe with heterogeneous enhancement in the arterial phase that infiltrates the left suprahepatic vein. Injuries in segment V and VIII. Extensive lymphadenopathy in the liver liver. Peritoneal and subpleural nodule. Hepatic biopsy puncture was performed confirming fibrolaminar hepatocarcinoma. Start once specific treatment.

Keywords : Carcinoma, hepatocellular; Fatal outcome; Fibrolamellar, hepatocarcinoma; Advanced.

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