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Fibrolamellar hepatocellular carcinoma: a case report with distinct radiological features
Ioannis Terzis1, Afrodite Haritanti, Ipoliti Economou
1Department of Radiology, AHEPA University Hospital, Thessaloniki, Greece. jterzis76@yahoo.com
Introduction:
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.
Result:
Biopsy of the liver mass led to a diagnosis of fibrolamellar hepatocellular carcinoma.
Conclusion:
Fibrolamellar carcinoma is an uncommon variant of hepatocellular carcinoma. The diagnosis is suggested by radiographic studies and is confirmed by histological examination.
