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Article scientifique
Rapport de cas
Accès libre
Anglais

Medullary-like hepatocellular carcinoma

Publié dansJournal of Surgical Case Reports, vol. 2018, no. 2, rjy010
Date de publication2018
Résumé

Hepatocellular carcinoma (HCC) is the most frequent primary hepatic cancer. Pathological features can define the biological behavior and prognosis. Medullary-like HCC is a very rare variant that has been described only twice in literature. In the present study, we report the case of a non-cirrhotic 72-year-old man, who presented two HCC lesions on routine screening for hepatitis C virus liver disease. Radiological imaging and biopsy showed two different subtypes: one classic HCC, which was treated with chemoembolization, and a second PET/CT-positive carcinoma with a PET/CT-positive metastatic coeliac lymph node, which was resected laparoscopically with a left lateral sectionectomy and extended lymphadenectomy. Histopathology revealed a medullary-like HCC; lymph node analysis confirmed the metastatic nature of the PET/CT-positive coeliac node and showed an incidental B-cell lymphoma in the hepatic pedicle lymph nodes. To the best of our knowledge this is the third case of medullary-like HCC described in the literature, and the first associated to a concomitant typical HCC.

Citation (format ISO)
CRISTAUDI, Alessandra et al. Medullary-like hepatocellular carcinoma. In: Journal of Surgical Case Reports, 2018, vol. 2018, n° 2, p. rjy010. doi: 10.1093/jscr/rjy010
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Article (Published version)
Identifiants
ISSN du journal2042-8812
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Informations techniques

Création2018-03-19 14:40:00
Première validation2018-03-19 14:40:00
Heure de mise à jour2023-03-15 08:05:13
Changement de statut2023-03-15 08:05:13
Dernière indexation2024-02-12 12:50:52
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