Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity
Ectopic hepatocellular carcinoma (HCC) is a very rare clinical entity that is defined as HCC arising from extrahepatic liver tissue. This report presents a case of ectopic multiple HCC arising in the abdominal cavity. A 42-year-old otherwise healthy male presented with liver dysfunction at a general...
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Format: | Article |
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Karger Publishers
2012-09-01
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Series: | Case Reports in Gastroenterology |
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Online Access: | http://www.karger.com/Article/FullText/343433 |
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author | Toru Miyake Seiichiro Hoshino Yoichiro Yoshida Naoya Aisu Syu Tanimura Satoshi Hisano Nobuaki Kuno Tetsuro Sohda Shotaro Sakisaka Yuichi Yamashita |
author_facet | Toru Miyake Seiichiro Hoshino Yoichiro Yoshida Naoya Aisu Syu Tanimura Satoshi Hisano Nobuaki Kuno Tetsuro Sohda Shotaro Sakisaka Yuichi Yamashita |
author_sort | Toru Miyake |
collection | DOAJ |
description | Ectopic hepatocellular carcinoma (HCC) is a very rare clinical entity that is defined as HCC arising from extrahepatic liver tissue. This report presents a case of ectopic multiple HCC arising in the abdominal cavity. A 42-year-old otherwise healthy male presented with liver dysfunction at a general health checkup. Both HCV antibody and hepatitis B surface antigen were negative. Laboratory examination showed elevations in serum alpha-fetoprotein and PIVKA-II. Ultrasonography and computed tomography revealed multiple nodular lesions in the abdominal cavity with ascites without a possible primary tumor. Exploratory laparoscopy was performed, which revealed bloody ascites and multiple brown nodular tumors measuring approximately 10 mm in size that were disseminated on the perineum and mesentery. A postoperative PET-CT scan was performed but it did not reveal any evidence of a tumor in the liver. The tumors resected from the peritoneum were diagnosed as HCC. The present case of HCC was thought to have possibly developed from ectopic liver on the peritoneum or mesentery. |
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issn | 1662-0631 |
language | English |
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spelling | doaj.art-04248ca9c95c4499b1c70961a7b223ad2022-12-22T00:56:35ZengKarger PublishersCase Reports in Gastroenterology1662-06312012-09-016362963410.1159/000343433343433Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal CavityToru MiyakeSeiichiro HoshinoYoichiro YoshidaNaoya AisuSyu TanimuraSatoshi HisanoNobuaki KunoTetsuro SohdaShotaro SakisakaYuichi YamashitaEctopic hepatocellular carcinoma (HCC) is a very rare clinical entity that is defined as HCC arising from extrahepatic liver tissue. This report presents a case of ectopic multiple HCC arising in the abdominal cavity. A 42-year-old otherwise healthy male presented with liver dysfunction at a general health checkup. Both HCV antibody and hepatitis B surface antigen were negative. Laboratory examination showed elevations in serum alpha-fetoprotein and PIVKA-II. Ultrasonography and computed tomography revealed multiple nodular lesions in the abdominal cavity with ascites without a possible primary tumor. Exploratory laparoscopy was performed, which revealed bloody ascites and multiple brown nodular tumors measuring approximately 10 mm in size that were disseminated on the perineum and mesentery. A postoperative PET-CT scan was performed but it did not reveal any evidence of a tumor in the liver. The tumors resected from the peritoneum were diagnosed as HCC. The present case of HCC was thought to have possibly developed from ectopic liver on the peritoneum or mesentery.http://www.karger.com/Article/FullText/343433Hepatocellular carcinomaEctopic liverEctopic hepatocellular carcinomaAbdominal cavity |
spellingShingle | Toru Miyake Seiichiro Hoshino Yoichiro Yoshida Naoya Aisu Syu Tanimura Satoshi Hisano Nobuaki Kuno Tetsuro Sohda Shotaro Sakisaka Yuichi Yamashita Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity Case Reports in Gastroenterology Hepatocellular carcinoma Ectopic liver Ectopic hepatocellular carcinoma Abdominal cavity |
title | Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity |
title_full | Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity |
title_fullStr | Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity |
title_full_unstemmed | Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity |
title_short | Multiple Ectopic Hepatocellular Carcinomas Arising in the Abdominal Cavity |
title_sort | multiple ectopic hepatocellular carcinomas arising in the abdominal cavity |
topic | Hepatocellular carcinoma Ectopic liver Ectopic hepatocellular carcinoma Abdominal cavity |
url | http://www.karger.com/Article/FullText/343433 |
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