Ectopic Hepatocellular Carcinoma Occurring in the Bile Duct and Extending to the Gallbladder
Autor: | Zuo Feng Xu, Mei Qing Cheng, Dan Zeng, Xiao Feng Tang, Hui Huang |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Pathology Carcinoma Hepatocellular Gastroenterology Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Carcinoma Humans Radiology Nuclear Medicine and imaging Sex organ neoplasms Ultrasonography Tumor marker Pregnancy Bile duct business.industry Gallbladder Liver Neoplasms Middle Aged medicine.disease digestive system diseases medicine.anatomical_structure 030220 oncology & carcinogenesis Hepatocellular carcinoma 030211 gastroenterology & hepatology Bile Ducts business Preoperative imaging |
Zdroj: | Ultrasound Quarterly. 33:58-61 |
ISSN: | 1536-0253 0894-8771 |
DOI: | 10.1097/ruq.0000000000000232 |
Popis: | Ectopic hepatocellular carcinoma (HCC) is rare and there has been no report on ectopic HCC arising from both the bile duct and the gallbladder. It is difficult to establish a correct diagnosis for this kind of HCC based on preoperative imaging. All of the preoperative imaging examinations misdiagnosed the HCC as cholangiocarcinoma in our case. However, via retrospective analysis of this case, we found that the patient was positive for hepatitis virus markers and that a tumor marker (α-fetoprotein) was significantly elevated. Therefore, diagnosis of HCC with significantly elevated α-fetoprotein (>200 μg/L) is highly likely, particularly with chronic hepatitis and excluding pregnancy and tumor of genital system. |
Databáze: | OpenAIRE |
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