HEPATOCELLULAR CARCINOMA IN PREVIOUS HYD PATIENT - CASE REPORT

Hepatocellular carcinoma is the most common type of primary liver cancer. It is a solid lesion strongly related to cirrhosis, especially those associated with hepatitis B and C infection. It is estimated that only a portion between 7 and 12% of HCC cases develop in non-cirrhotic livers. The case reported here is a 65-year-old patient with no previous comorbidities, with pain in hypochondrium D and an image strongly suggestive of hepatocellular carcinoma. The aforementioned patient was treated at the authors' service with initial right hypochondrium pain. Propaedeutic with signs suggestive of hepatocellular carcinoma. No comorbidities. Former alcoholic, with cessation of addiction for 15 years. Former smoker for 20 years. Preserved liver function, no history of prior liver disease. Alphafetoprotein levels within normal range. Serology for negative hepatitis B and C. Magnetic resonance imaging identified a large segment-centered neoplastic expansive formation, leading to bulging of the hepatic contour at the level of the hilum, measuring 8.5 × ×7.5 × 8.3 cm. Such lesion presenting predominantly peripheral arterial enhancement, with Wash-out and pseudocapsule formation, as well as an entourage contour with areas of necrosis / liquefaction. Formation exerting a compressive effect on the gallbladder and the second duodenal portion, without signs of invasion. Exam report suggesting consider hepatocellular carcinoma as a first hypothesis. Colonoscopy and upper digestive endoscopy without neoplastic signs. Given these tests, we decided to perform extended left hepatectomy, performed on 21/11/2017. Non-cirrhotic patients with HCC, although far less frequent than cirrhotic patients, have good treatment possibilities and considerable five-year survival rates.

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Artikel online veröffentlicht:
23. Oktober 2019