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| 篇名 |
Hepatoblastoma with Concomitant Hepatitis C Virus Related Hepatocellular Carcinoma in Adult: Report of a Case |
| 作者 |
Chien-Hua Lin, Shao-Jiun Chou, Ming-Fang Cheng, Lai-Fa Hsu,Jyh-Cherng Yu, Teng-Wei Chen, Chung-Bao Hsieh |
| 卷期/出版年月 |
39卷3期 (2006/6) |
| 頁次 |
147-155 |
| 摘要 |
Hepatoblastoma is a very rare cancerous tumor that originates in the liver and occurs
most frequently in children under three years of age. It usually presents as one of two
variants, epithelial type and epithelio-mesenchymal type. Clinical presentation is nonspecific,
depending on tumor size and presence and location of possible metastases.
Diagnosis is mainly based on histological morphology and the clinical course.
We report the case of a 62-year-old woman with chief the complaint of tarry stools
whose hepatic tumors were incidental findings. Initial workup revealed that she was a
hepatitis C virus carrier. Imaging studies showed two hepatic masses, in segments 6
and 7. The former was a low density mass 5 cm in size with progressive peripheral
mural enhancement, the latter was hypervascular, and 2 cm in size. An elective total
resection of segment 6 and a wedge resection of segment 7 were performed.
Histopathological examination of tissue from the segment 6 lesion showed teratoid
hepatoblastoma; the smaller lesion was diagnosed as hepatocellular carcinoma.
Hepatoblastoma in adults is rare and generally presents as epithelial or mixed
epithelial-mesenchymal type, but it is frequently referred to as mixed malignant
tumor of the liver". Our case reminds clinicians and pathologists that such tumors in
adults can be found with comorbid hepatic tumors, in this case a hepatitis C-related
hepatocellular carcinoma. It is also stressed that the prognosis may be good if by early detection one finds a tumor that can be completely resected. |
| 關鍵詞 |
hepatoblastoma, hepatoblastoma in adults, surgical resection, hepatocellular carcinoma, hepatitis C virus |
| 分類 |
Case Report |
|
