Fibrolamellar hepatocellular carcinoma: a case report with distinct radiological features.
BACKGROUND
We report a rare case of a 23-year-old male who presented with abdominal discomfort for 15 days. An ultrasound was performed which showed a hypoechoic, heterogenous mass in the left lobe of the liver and distended portal vein, followed by further investigation with computed tomography (CT), MRI, and MRA. Serum alpha-fetoprotein was not elevated and hepatitis B antigen was negative.


METHODS
CT scan depicted a nodular mass in left liver lobe with occlusion of both the central part and the two main branches of intrahepatic portal vein.


RESULTS
Biopsy of the liver mass led to a diagnosis of fibrolamellar hepatocellular carcinoma.


CONCLUSIONS
Fibrolamellar carcinoma is an uncommon variant of hepatocellular carcinoma. The diagnosis is suggested by radiographic studies and is confirmed by histological examination.
Terzis
Ioannis
I
Department of Radiology, AHEPA University Hospital, Thessaloniki, Greece. jterzis76@yahoo.com
Haritanti
Afrodite
A
Economou
Ipoliti
I
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed