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Fibrolamellar Hepatocellular Carcinoma: A Case Report

Author(s): "N. Ebrahimi Daryani | H. Ghanaati | S. Aram | M. Bashashati | A. A. Shadman Yazdi | A.R. Sayyah | B. Haghpanah "

Journal: Iranian Journal of Radiology
ISSN 1735-1065

Volume: 3;
Issue: S1;
Start page: 1;
Date: 2005;
Original page

Introduction & Background: Fibrolamellar hepatocel-lular carcinoma occurs in non-cirrhotic livers, most frequently in the adolescents or young adults without sex predominance, and the prognosis is more favor-able than that of the usual hepatocellular carcinoma. It is a rare condition; accounting for less than 1% of primary liver cancers. Case Presentation: This is a seventeen-year old male patient with history of right upper quadrant abdomi-nal pain, with no hepatomegaly. Liver function tests and serological markers for viral B, C hepatitis and tumor markers were normal. CT scan demonstrated a massive hyper- vascular lesion in the liver and the histological examination was reported as a typical fibrolamellar hepatocarcinoma. Intra-arterial chemo-therapy has been done for the patient about 6 months ago. Now he had none of the previous problems and his weight loss is reversed. Fibrolamellar hepatocellu-lar carcinoma should be kept in mind in young pa-tients with hypervascular liver masses and no history of hepatic diseases.

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