Manejo terapêutico do hepatocarcinoma fibrolamelar

Revista do Colégio Brasileiro de Cirurgiões

Marlus Moreira²  João Eduardo Leal Nicoluzzi¹  Pedro Ernesto Caron² 

[1] ,Hospital Angelina Caron

关键词: Liver diseases;    Carcinoma;    hepatocellular;    Liver Neoplasms;    Carcinoma;   

DOI  :  10.1590/S0100-69912005000200012

来源: SciELO

【 摘 要 】

Fibrolamellar carcinoma of the liver is a distinct variant of hepatocellular carcinoma characterized by the lack of association with cirrhosis or other underlying liver diseases, as hepatitis B virus. The serum alpha-fetoprotein level is often not elevated, occuring typically in young patients. Distinction from conventional hepatocellular carcinoma is of clinical significance, because prognosis is far better due to higher ressecability and more indolent growth. We describe a case of a 26-year-old woman free of other liver diseases presenting with a large abdominal palpable mass. After ressection by vascular exclusion technique, the pathologic examination revealed fibrolamellar carcinoma. The former should not be confused with the hepatocellular carcinoma, since it is related with a more favorable prognosis.

【 授权许可】

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