Is it liver or lung cancer? An intriguing case of lung adenocarcinoma with hepatoid differentiation:

Proceedings of Singapore Healthcare

Nurul Yaqeen MohdEsa¹ 

关键词: Hepatocellular differentiation;    lung carcinoma;    alpha-fetoprotein;    liver;    metastasis;    hepatoid adenocarcinoma;   

DOI  :  10.1177/2010105817716185

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

We report the case of a 50-year-old man who was investigated for an incidental finding of a left lung mass following left shoulder pain over a three month period. He also had a significant raised serum alpha-fetoprotein (AFP) level of 29,000, which raised the suspicion of hepatocellular carcinoma with lung metastases. However, there was no detectable liver lesion on multiphase contrasted tomography of the liver and no significant hypermetabolic nodes or distant metastasis seen in the liver on positron emission tomography scan. A lung biopsy confirmed adenocarcinoma with hepatocellular differentiation that would explain the raised serum AFP level.

【 授权许可】

CC BY