A Case of Hepatocellular Carcinoma in a Patient with Crohn's Disease / 대한내과학회지
Korean Journal of Medicine
;
: 424-429, 2015.
Article
in Korean
| WPRIM
| ID: wpr-180825
ABSTRACT
Hepatocellular carcinomas (HCCs) in patients with Crohn's disease (CD) without underlying chronic hepatitis or liver cirrhosis are extremely rare. Previously reported cases occurred in patients who had developed CD at a young age and had been treated with immunosuppressive agents long-term. We herein report the first case of HCC in a 34-year-old patient with CD in Korea. The patient was treated with azathioprine for 14 years and had undergone repeated surgeries for CD. During the follow-up period, the patient was hospitalized for colon perforation and pericolic abscess formation. Computed tomography showed a liver mass, and HCC was diagnosed based on liver biopsy. The patient underwent right hemicolectomy for colon perforation and transcatheter arterial chemoembolization followed by radiofrequency ablation for the HCC. The present case is similar to previously reported cases with the exception of the liver pathology findings, which exhibited neither primary sclerosing cholangitis nor focal hepatic glycogenolysis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Azathioprine
/
Biopsy
/
Cholangitis, Sclerosing
/
Crohn Disease
/
Follow-Up Studies
/
Catheter Ablation
/
Colon
/
Carcinoma, Hepatocellular
/
Abscess
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS