Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · 2017
Fibrolamellar hepatocellular carcinoma with ovarian metastasis - an unusual presentation.
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Ciurea Silviu Horia, Matei Emil, Stănescu CodruŢ Silvian, Lupescu Ioana Gabriela, Boroş Mirela, Herlea Vlad, Luca Niculina Ioana, DorobanŢu Bogdan Mihail
Аннотация
AIM: Fibrolamellar carcinoma (FLC) has been considered a distinct clinical entity vs. hepatocellular carcinoma, with respect to its epidemiology, etiology, and prognosis.
CASE PRESENTATION: We describe the unusual case of a 23-year-old female patient with FLC and ovarian (Krukenberg) and peritoneal metastases, clinically mimicking an ovarian carcinoma. Multiple recurrences occurred despite initial R0 resection and chemotherapy, requiring surgical treatment. The patient survived five years and died from generalized disease.
DISCUSSION: The particularities of our case are discussed by comparison with the other two similar cases and other date from the literature.
CONCLUSIONS: To our knowledge, the ovarian involvement encountered in our case is the third case published in literature, being explained by the superficial location of the liver tumor.
CASE PRESENTATION: We describe the unusual case of a 23-year-old female patient with FLC and ovarian (Krukenberg) and peritoneal metastases, clinically mimicking an ovarian carcinoma. Multiple recurrences occurred despite initial R0 resection and chemotherapy, requiring surgical treatment. The patient survived five years and died from generalized disease.
DISCUSSION: The particularities of our case are discussed by comparison with the other two similar cases and other date from the literature.
CONCLUSIONS: To our knowledge, the ovarian involvement encountered in our case is the third case published in literature, being explained by the superficial location of the liver tumor.