[Fibrolamellar hepatocarcinoma. Case report].
We reported a case with the hystologic diagnosis of fibromellar carcinoma. A 50 year-old woman without known risk factors for hepatocellular carcinoma. She appeared at the hospital with pain in the upper right quadrant, hepatomeglia and weight loss. The automated enhanced tomography evidenced a heterogeneous tumor with a diameter of 15 cm. compromising segments 4, 5, 6, 7 and 8 of the liver. Tumor calcifications and the retraction of the hepatic capsule were identified. Alpha-fetoprotein levels were normal and a negative serology for viral hepatitis were found. The patient underwent a surgical resection (extended right hepatectomy, the partial resection of the main biliary tract and a portal lymphadenectomy). Six months later she is asymptomatic and evidences no recurrence of the disease. The clinical, pathological, radiological features, treatment options and prognoses of fibrolamellar carcinoma were discussed.
Luque Vásquez
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C
Cirujano Oncologo, Departamento de Cirugia, Hospital IV Alberto Sabogal, Essalud.
Chávez
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I
Caycho
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R
Hipólito
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M
D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008197:Lymph Node Excision; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed