Pulmonary metastases from primary hepatocellular carcinoma in a 26-year-old patient: a case report.

Cases Journal
Carla AssedAlberto Domingues Vianna

Abstract

Hepatocellular carcinoma is a primary tumor of the liver, which usually develops in the setting of chronic liver disease, particularly viral hepatitis. The diagnosis of hepatocellular carcinoma can be difficult, and often requires the use of serum markers, one or more imaging modalities, and histological confirmation. The authors describe a case of a 26-year-old woman with hepatocellular carcinoma and multiple pulmonary metastases. She presented with hepatomegaly and sporadic fever, and had negative hepatitis serology, normal alkaline phosphatase, and a rising serum alpha-fetoprotein level. The diagnosis was confirmed by histopathology, after percutaneous liver biopsy. Although the patient was in good health condition and had few symptoms, there was no possibility of treatment due to the extension of the liver tumor and the number of pulmonary metastases.

References

Mar 11, 1999·The New England Journal of Medicine·H B El-Serag, A C Mason
Jan 25, 2008·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Maria Raquel Oliva, Sanjay Saini
Aug 1, 2008·World Journal of Surgery·Fengshi ChenHiroshi Date
Dec 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Tammy T ChangCarlos U Corvera
Dec 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kevin P CharpentierAnthony Monaco

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Methods Mentioned

BETA
surgical resection
X-ray
biopsies

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