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...

Full description

Bibliographic Details
Main Authors: Toru Miyake, Seiichiro Hoshino, Yoichiro Yoshida, Naoya Aisu, Syu Tanimura, Satoshi Hisano, Nobuaki Kuno, Tetsuro Sohda, Shotaro Sakisaka, Yuichi Yamashita
Format: Article
Language:English
Published: Karger Publishers 2012-09-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/343433
_version_ 1818531939199483904
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.
first_indexed 2024-12-11T17:39:00Z
format Article
id doaj.art-04248ca9c95c4499b1c70961a7b223ad
institution Directory Open Access Journal
issn 1662-0631
language English
last_indexed 2024-12-11T17:39:00Z
publishDate 2012-09-01
publisher Karger Publishers
record_format Article
series Case Reports in Gastroenterology
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
work_keys_str_mv AT torumiyake multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT seiichirohoshino multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT yoichiroyoshida multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT naoyaaisu multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT syutanimura multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT satoshihisano multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT nobuakikuno multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT tetsurosohda multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT shotarosakisaka multipleectopichepatocellularcarcinomasarisingintheabdominalcavity
AT yuichiyamashita multipleectopichepatocellularcarcinomasarisingintheabdominalcavity