Korean J Med.  2003 Nov;65(Suppl 3):S698-S702.

A case of fibrolamellar hepatocellular carcinoma in an old-age woman

• Lee TH
• Cho WY
• Chung IK
• Kim HS
• Park SH
• Kim SJ
• Kim CJ

Abstract

Fibrolamellar hepatocellular carcinoma (FLHCC) is an entiry distinct from ordinary hepatocellular carcinoma (HCC) and is very rare in oriental countries. In contrast to the ordinary type of HCC, FLHCC is predominantly a disease of young adults and shows no sex predilection. In addition, it is rarely associated with positive hepatitis-B surface antigen, chronic liver disease, and a high level of serum alpha-fetoprotein (AFP). FLHCC has a high resectability rate than that of ordinary HCC, because of its occurrence in adolescents and the lack of underlying disease. Here, we report a case of FLHCC observed in a 78 year old woman. She had a dyspepsia for one month and was older than average-age patient with FLHCC, but had many characteristics of FLHCC. The tumor was removed by right anterior and left medial segmentectomy, and diagnosed as FLHCC.

Keyword

Fibrolamellar hepatocellular carcinoma

MeSH Terms

Adolescent
Aged
alpha-Fetoproteins
Antigens, Surface
Carcinoma, Hepatocellular*
Dyspepsia
Female
Humans
Liver Diseases
Mastectomy, Segmental
Young Adult
Antigens, Surface
alpha-Fetoproteins