title: Hepatocellular carcinoma in non-cirrhotic liver without evidence of iron overload in a patient with primary hemochromatosis. Review.
abstract: BACKGROUND
  We report a case of a 70-year-old male with hepatocellular carcinoma (HCC) with a history of hemochromatosis but with no evidence of cirrhosis or iron overload and with a history of exposure to atomic bomb radiation. It is very rare to see hepatocellular carcinoma in the absence of evidence of liver injury.
  
  
  METHODS
  We did an extensive review of current English medical literature through Pubmed from 1980 to 2009 and found 14 case reports of patient with hepatocellular cancer in absence of cirrhosis. The details of these cases were reanalyzed as reported and documented for review.
  
  
  RESULTS
  There are 14 previous case reports of HCC developing in hemochromatosis in absence of cirrhosis but ten of them had evidence of iron overload in the non-tumorous livers. Our case is the fifth case of Hepatocellular cancer in hemochromatosis in absence of cirrhosis and iron overload.
  
  
  CONCLUSIONS
  Hepatocellular carcinoma is a very rare in absence of cirrhosis but patient with other risk factors like hemochromatosis, viral infections, radiation, and toxin exposure should be monitored closely for any sign and symptoms suggestive of malignancy.
authors.affiliation: Department of Hematology and Oncology, Westchester Medical Center, Valhalla, NY, USA. Drparminder.singh@gmail.com
authors.forename: Parminder
authors.initials: P
authors.lastname: Singh
authors.forename: Harneet
authors.initials: H
authors.lastname: Kaur
authors.forename: Robert G
authors.initials: RG
authors.lastname: Lerner
authors.forename: Roshan
authors.initials: R
authors.lastname: Patel
authors.forename: Shamudheen M
authors.initials: SM
authors.lastname: Rafiyath
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Singh Lamba
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000209:etiology* / Q000473:pathology; D006432:Hemochromatosis / Q000150:complications*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000209:etiology* / Q000473:pathology; D008297:Male; D009689:Nuclear Warfare