ABSTRACT
El carcinoma hepatocelular fibrolamelar(CHF) es un tumor hepático maligno, poco frecuente, con características clínicas, histológicas e imagenológicas que lo diferencian del carcinoma hepatocelular. Se le consideraba de mejor pronóstico que el hepatocarcinoma, sin embargo, estudios recientes han demostrado altas tasas de recidivas y metástasis. Presentamos el caso clínico de un paciente con diagnóstico de CHF, el que evoluciona con desarrollo de metástasis cerebral, sin reportes similares en la literatura.
Fibrolamellar hepatocellular carcinoma (FHC) is an infrequent liver tumor with clinical, histological and radiological features that makes it distinguishable from hepatocellular carcinoma. It has been considered to have a better prognosis compared to hepatocarcinoma, but recent studies have shown a worst outcome than initially assumed, with a high rate of relapse and metastasis. We present a case of FHC that developed brain metastases, which has not been previously described in the literature.