title: [Fibrolamellar hepatocarcinoma. Case report].
abstract: 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.
authors.affiliation: Cirujano Oncologo, Departamento de Cirugia, Hospital IV Alberto Sabogal, Essalud.
authors.forename: C
authors.initials: C
authors.lastname: Luque Vásquez
authors.forename: I
authors.initials: I
authors.lastname: Chávez
authors.forename: R
authors.initials: R
authors.lastname: Caycho
authors.forename: M
authors.initials: M
authors.lastname: Hipólito
mesh_terms: 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