Fibrolamellar liver carcinoma: report of two cases and review of the literature

• Published in: Revista medíca de Chile Vol. 137; no. 3; pp. 394 - 400
• Main Authors: Butte, Jean M, Waugh, Enrique, Meneses, Manuel, Pruzzo, Rossana, Carvallo, Cristian, Redondo, Francisca, Suárez, Claudio, Parada, Hugo, Amaral, Horacio, de La Fuente, Hernán
• Format: Journal Article
• Language: Spanish
• Published: Chile 01.03.2009
• Subjects: Adolescent; Biopsy; Carcinoma, Hepatocellular - pathology; Carcinoma, Hepatocellular - surgery; Fatal Outcome; Female; Focal Nodular Hyperplasia - pathology; Focal Nodular Hyperplasia - surgery; Humans; Liver Neoplasms - pathology; Liver Neoplasms - surgery; Lymph Nodes - pathology; Male; Neoplasm Recurrence, Local; Tomography, X-Ray Computed; Young Adult
• ISSN: 0034-9887

Fibrolamellar hepatocellular carcinoma (FLC) is a rare histologic variant of hepatocellular carcinoma that appears most commonly in teenagers and young adults. The diagnosis is often made incidentally and surgical resection is the only curative treatment. Here we report two cases of incidental FLC involving a 19 year-old male, initially diagnosed with screening abdominal ultrasound, and a 14 year-old female that presented with abdominal pain. Diagnostic workup consisted of abdominal PET/CT and MR1 Imaging studies and tissue diagnosis was confirmed with percutaneous liver biopsy. Both patients were treated with radical liver resection/tumor excision. However, tumor recurrence was observed in both during short-term follow-up. The male patient was treated successfully with surgical treatment however the female patient succumbed top regression of disease.