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Fibrolamellar hepatocellular carcinoma in a Thai man who presented with hypoglycemia: case report and review of literature.
Artículo en Inglés | IMSEAR | ID: sea-40903
ABSTRACT
We present a case of fibrolamellar hepatocellular carcinoma (FLHCC) in a 22 year old Thai man whose presenting symptom was hypoglycemic coma with right hemiparesis. The serum marker for hepatitis B virus (HBsAg) was positive and serum AFP was very high (over 100,000 IU/ml). The abdominal ultrasonography revealed a solitary heterogenic mass, size 5.5 x 6.5 cm in the right lobe. Chest X-ray showed multiple lung metastases. Ultrasound-guided needle liver biopsy was performed and typical histologic features of FLHCC in non-cirrhotic liver were diagnosed. The patient's comatose state and neurological deficits recovered rapidly after glucose administration. Unfortunately, the tumor mass could not be resected on account of far-advanced stage with metastases. Here, we also review of the literature concerning FLHCC in many aspects.
Asunto(s)
Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Biopsia con Aguja / Índice de Severidad de la Enfermedad / Humanos / Masculino / Resultado Fatal / Carcinoma Hepatocelular / Adulto / Diagnóstico Diferencial / Hipoglucemia / Neoplasias Hepáticas Tipo de estudio: Estudio diagnóstico Idioma: Inglés Año: 2000 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Biopsia con Aguja / Índice de Severidad de la Enfermedad / Humanos / Masculino / Resultado Fatal / Carcinoma Hepatocelular / Adulto / Diagnóstico Diferencial / Hipoglucemia / Neoplasias Hepáticas Tipo de estudio: Estudio diagnóstico Idioma: Inglés Año: 2000 Tipo del documento: Artículo