Hepatocellular cancer arising from ectopic liver tissue on diaphragm. Case report.
OBJECTIVE
Ectopic liver tissue is a rare clinical entity; very few cases of extra peritoneal localization have been described in Literature.


METHODS
A 54 years old male patient was admitted to our Institution because of thoraco - abdominal pain (lower left chest, left hypochondrium), and fever; CEA and CA 19-9 were in range, but alpha fetoprotein levels were high (880 IU / L); CT scan and NMR showed a thoraco - abdominal mass developing from the left hemidiaphragm, with infiltration of the cranial part of the spleen; no primitive liver tumors have been detected. A jejunal mesentery mass (6 cm in diameter) was also incidentally diagnosed.


RESULTS
The patient underwent surgical resection of the thoraco - abdominal tumor and of the mesenteric mass.


RESULTS
hepatocellular carcinoma arising from ectopic islet of liver tissue on left hemidiaphragm; mesenteric desmoid tumor.


CONCLUSIONS
The case we have observed showed a coexistence of two very rare tumors; carcinogenesis on ectopic liver should be suspected in this patient with a thoraco-abdominal mass with high alpha fetoprotein levels, in absence of primitive liver chronic diseases and cancer.
Alberto
A
Oldani
Marcello
M
Garavoglia
D002828:Choristoma / Q000150:complications*; D003964:Diaphragm; D006801:Humans; D008099:Liver; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications*