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  • Title: Fibrolamellar hepatocellular carcinoma: a case report with distinct radiological features.
    Author: Terzis I, Haritanti A, Economou I.
    Journal: J Gastrointest Cancer; 2010 Mar; 41(1):2-5. PubMed ID: 19960280.
    Abstract:
    INTRODUCTION: We report a rare case of a 23-year-old male who presented with abdominal discomfort for 15 days. An ultrasound was performed which showed a hypoechoic, heterogenous mass in the left lobe of the liver and distended portal vein, followed by further investigation with computed tomography (CT), MRI, and MRA. Serum alpha-fetoprotein was not elevated and hepatitis B antigen was negative. METHODS: CT scan depicted a nodular mass in left liver lobe with occlusion of both the central part and the two main branches of intrahepatic portal vein. RESULT: Biopsy of the liver mass led to a diagnosis of fibrolamellar hepatocellular carcinoma. CONCLUSION: Fibrolamellar carcinoma is an uncommon variant of hepatocellular carcinoma. The diagnosis is suggested by radiographic studies and is confirmed by histological examination.
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