Fibrolamellar hepatocellular carcinoma (FHCC) is a rare form of hepatocellular carcinoma (HCC) that typically affects young adults and is characterized, under. Although fibrolamellar carcinoma (FLC) has conventionally been considered to be a histologic variant of hepatocellular carcinoma (HCC). Summary. An Orphanet summary for this disease is currently under development. However, other data related to the disease are accessible.

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While it is a variant of HCC, it does not present in patients with underlying liver disease [ 14 ] and is associated with a better prognosis than conventional HCC [ 24 ]. Radiology ; 1: Cancer ; 46 2: Cecil Tratado de medicina interna.

Fibrolamellar variant of hepatocellular cacinoma. He had an uneventful recovery. Fibrolamellar hepatocellular carcinoma usually occurs among young patients having distinctive clinical, histological and prognostic features Although recurrences and metastasis are common, surgery is still the treatment of choice for resectable metastasis, given the lack of other effective treatment options such as chemotherapy [ 46 ].

Unlike the more common HCC, patients uepatocelular often do not have coexistent liver disease such as cirrhosis. In our patient, histopathology from the EUS-FNA of the pancreatic mass showed morphologic features carcinoa tumor cells compatible with metastasis from the patient’s known FL-HCC with expression of hepatocyte-specific antigen, glutamine synthetase, glypican-3, and positive CD34 in a canalicular pattern.

Prognosis of patients with fibrolamellar hepatocellular carcinoma versus conventional hepatocellular carcinoma: His AFP level was normal. J Hepatocell Carcinoma 2: Gastrointestinal stromal tumor Krukenberg tumor metastatic. Views Read Edit View history.


We present the case of a year-old male with no previous medical history. Adenocarcinoma Pancreatic ductal carcinoma cystic neoplasms: Best cases from the AFIP: We report the case of a young woman with a large liver mass without evidence of chronic liver disease.

Thank you for updating your details. He had a simultaneous left-lung video-assisted thoracoscopic surgery wedge resection and distal pancreatectomy with splenectomy fig. Radiotherapy has been used but data is limited concerning its use. Fibrolamellar hepatocellular carcinoma presenting with Budd-Chiari syndrome, right atrial thrombus, and pulmonary emboli.

Dear EditorHepatocellular carcinoma HCC is the most common primary malignant neoplasm of the liver, the sixth leading cause of cancer and the third leading cause of cancer death 1.

Fibrolamellar hepatocellular carcinoma | Radiology Reference Article |

AJR American journal of roentgenology ; 5: The CT confirmed the heterogeneous liver mass which had a 12 x 8 x 10 cm in diameter and dibrolamelar located in segment IV.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. The mass was visualized in the arterial phase, with decreased enhancement in the portal venous phase suggesting vascularity. Whole genome sequencing of ten patients. Hepaocelular include vague abdominal pain, nausea, abdominal fullness, malaise and weight loss.

Metastatic Fibrolamellar Hepatocellular Carcinoma to the Pancreas

National Center for Biotechnology InformationU. Sleisenger and Fordtran, editors. The usual markers for liver disease – aspartate aminotransferasealanine aminotransferase and alkaline phosphatase – are often normal or only slightly elevated. While sites of recurrence usually include the liver, regional lymph nodes, peritoneum, and lung [ 6 ], metastasis to the pancreas is extremely rare, with only 2 other cases reported in the literature to our knowledge [ 78 ].

Fibrolamellar hepatocellular carcinoma

Case reports in oncology ; 5 1: Prognosis of patients with fibrolamellar hepatocellular carcinoma versus conventional hepatocellular carcinoma: European fibrolamelzr of surgical oncology: The central scar typically shows persistent enhancement on delayed contrast enhanced CT.


Fibrolamellar hepatocellular carcinoma FHCC is a rare form of hepatocellular carcinoma HCC that typically affects young adults and is characterized, under the microscopeby laminated fibrous layers interspersed between the tumour cells.

The central scar, when present, is usually hypointense on all sequences.

Distribution permitted for non-commercial purposes only. Although the bad prognosis of the tumor, hepatectomy should always be tried, if technical resection is feasible. The American journal of gastroenterology ; Stemness characteristics of fibrolamellar hepatocellular carcinoma: He was on cyclosporine and mycophenolate mofetil for liver transplant immunosuppression. Fibrolamellar carcinoma of the liver: In our patient, MRI showed, in addition to the nodule in the left lower lobe, fibdolamelar 2.

Liver resection is the optimal treatment and may need to be performed more than once, since this disease has a very high recurrence rate. Vilgrain V, Vullierme MP. Unique phenotype of hepatocellular cancers with exon-3 mutations in beta-catenin gene.

Lifelong surveillance should be considered in this type of tumor, due to its propensity to recur many years after first presentation. Carcinomx of nine cases and a review of the literature. This page was last edited on 26 Februaryat Given these findings, it was performed a biopsy of the lesion.