Aggressive surgical management of fibrolamellar hepatocellular carcinoma in puberty.
Extensive right hepatectomy and replacement of the invaded inferior vena cava were performed in a 14-year-old girl with fibrolamellar liver carcinoma. Despite the graft thrombosis the patient was discharged on the 50th post-operative day. After 3 years a solitary lung metastasis was resected and the patient remains with no sign of intra-abdominal or intrathoracic recurrence.
Zografos
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Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
Palmer
S
S
Papastratis
G
G
Habib
N A
NA
D000293:Adolescent; D019917:Blood Vessel Prosthesis Implantation; D006528:Carcinoma, Hepatocellular / Q000556:secondary / Q000601:surgery*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy; D011627:Puberty; D019043:Vascular Neoplasms / Q000556:secondary / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*