Fulminant Hepatic Failure Caused by Diffuse Intrasinusoidal Metastatic Liver Disease: A Case Report
| Autor: | R Sarmiento, L Coppola, C M Foggi, O Martelli, M Palma, A L De Quarto |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Cancer Research
medicine.medical_specialty Enlarged liver Bone Neoplasms Breast Neoplasms 030218 nuclear medicine & medical imaging Metastasis Diagnosis Differential 03 medical and health sciences Fatal Outcome 0302 clinical medicine Fulminant hepatic failure Liver Function Tests Ascites medicine Humans Treatment Failure Hypoalbuminemia medicine.diagnostic_test business.industry Carcinoma Liver Neoplasms Metastatic liver disease General Medicine Middle Aged Jaundice medicine.disease Oncology 030220 oncology & carcinogenesis Female Autopsy Radiology medicine.symptom Liver function tests business Liver Failure |
| Zdroj: | Tumori Journal. 86:424-427 |
| ISSN: | 2038-2529 0300-8916 |
| Popis: | A 53-year-old woman experienced rapidly progressing liver failure four years after a quadrantectomy for a breast carcinoma. She had received adjuvant chemotherapy and radiotherapy, and second-line chemotherapy for bone metastasis one year earlier. The hepatic failure manifested with ascites, jaundice, elevation of serum bilirubin and hepatic enzyme levels and hypoalbuminemia. Imaging studies showed an enlarged liver without metastatic lesions. The patient died of hepatic decompensation within two weeks. Liver examination at autopsy revealed massive neoplastic infiltration consistent with a primary breast carcinoma. It is important to realize that this unusual pattern of liver metastasis cannot be demonstrated even with the most advanced techniques of instrumental diagnosis (CT scan, ultrasonography and magnetic resonance imaging), and should be taken into account in the differential diagnosis of rapidly progressing liver failure. |
| Databáze: | OpenAIRE |
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