title: An acute unusual presentation of hepatocellular carcinoma.
abstract: Hepatocellular Carcinoma (HCC) is a growing cause of mortality world over. The common risk factors include cirrhosis, viral infections, aflatoxin amongst others. Alpha Fetoprotein (AFP) levels and Ultrasonography (USG) are the preferred surveillance tools in early diagnosis of HCC. Here we present an unusual case of a young female with no known risk factors, no cirrhosis, no viral markers, and normal AFP levels who had a Acute hepatic failure eventually diagnosed as Primary Hepatocellular carcinoma.
authors.affiliation: Department of Medicine, Padmashree Dr. D.Y. Patil Medical College and Research Hospital, Pimpri, Pune, Maharashtra, India.
authors.forename: Zubin Dev
authors.initials: ZD
authors.lastname: Sharma
authors.forename: Vijayashree Shrirang
authors.initials: VS
authors.lastname: Gokhale
authors.forename: Neha
authors.initials: N
authors.lastname: Chaudhari
authors.forename: Arjun Lal
authors.initials: AL
authors.lastname: Kakrani
mesh_terms: D000208:Acute Disease; D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology