Recurrent fibrolamellar hepatocellular carcinoma with biliary invasion: Successful resection |
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Authors: | Kanji Miyata Norihiro Yuasa Tatsuo Hattori Shinji Fukata Keitaro Kamei Yasuhiro Kurumiya Yuji Hayashi Junji Washizu " target="_blank">Yasuhiro Koide and Tetsuyuki Sugitoh |
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Institution: | (1) Department of Surgery, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, 453 Nagoya, Japan;(2) Department of Pediatric Surgery, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, 453 Nagoya, Japan |
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Abstract: | A jaundiced 17-year-old man was diagnosed as having a local recurrence of fibrolamellar hepatocellular carcinoma 2 years and
4 months after left hepatic trisegmentectomy with total caudate lobectomy had been performed. The patient had a tumor occupying
the upper part of the extrahepatic and intrahepatic bile ducts. Complete resection of the recurrent tumor was carried out.
The patient remains well 3 years after the second surgery. Fibrolamellar hepatocellular carcinoma, a rare type of liver cancer,
is a well defined disease entity with distinct clinical and histopathological features and a favorable prognosis. The good
prognosis seems to warrant aggressive surgical intervention in patients with recurrences. Therefore, additional surgery for
tumor recurrence should be considered. To our knowledge, this is the first report of a case in which a recurrent tumor of
fibrolamellar hepatocellular carcinoma invaded the entire bile duct wall was successfully resected. |
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Keywords: | fibrolamellar hepatocellular carcinoma liver cancer obstructive jaundice |
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