Fibrolamellar hepatocellular carcinoma (FHCC) is a rare form of hepatocellular carcinoma (HCC) that typically affects young adults and is characterized, under. Although fibrolamellar carcinoma (FLC) has conventionally been considered to be a histologic variant of hepatocellular carcinoma (HCC). Summary. An Orphanet summary for this disease is currently under development. However, other data related to the disease are accessible.

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Astudy of nine cases and a review of the literature. Immunohistochemical studies have found that FL-HCC expresses markers associated with biliary CK7 and epithelial membrane antigen and hepatic hepar-1 and glypican-3 differentiation as well as markers associated with hepatic stem cells CD and CD44 that help differentiate it from conventional HCC [ 1213 ].

Edit article Share article View revision history. Hepatocellular adenoma Cavernous hemangioma hyperplasia: Case report A year-old woman who presented fever and epigastric discomfort was hepatoceluar a painful hepatomegaly at the expense of the left hepatic lobe LHL no other findings in the rest of the examination.

Summary and related texts. Fibrolamellar carcinoma is less aggressive than HCC but usually, due to lack of symptoms until it becomes sizeable, and often a lack of secretion of AFP, stage at presentation tends to be advanced 5. The AFP level was 3.

Metastatic Fibrolamellar Hepatocellular Carcinoma to the Pancreas

Liver resection is the optimal treatment and may need to be performed more than once, since this disease has a very high recurrence rate. As the tumor is quite rare, there is no standard chemotherapy regimen.


Differential diagnosis of tumors and tumor-like lesions of liver in infancy and childhood. Presentation is non-specific, with constitutional symptoms and occasionally gynaecomastia due to elevated oestrone levels 1. European journal of surgical oncology: J Hepatocell Carcinoma 2: The lesion was mainly isoechogenic with hyperechogenic areas, located on left liver lobe and segment 4 Fig.

First-choice treatment is surgical resection 1,5. The result was fibrolamellar fibrokamelar. While sites of recurrence usually involve the liver, regional lymph nodes, peritoneum, and lung, metastasis to the pancreas is extremely rare, with only 2 other cases reported in the literature.

FNA with a gauge needle yielded a bloody sample without a core.

Cancer ; A US population-based study. Eur J Surg Oncol. FHCC has a high resectability ratei. Although it has a better prognosis than hepatocellular carcinoma, it has a high rate of recurrence months bepatocelular years after primary resection. He presented mildly elevated liver enzymes, negative hepatotropic viruses and normal levels of alpha-fetoprotein.

Fibrolamellar hepatocellular carcinoma

The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. In six months follow-up ultrasonography showed normal aspect of the remained liver.

The patient was then referred to surgery for resection of his lung nodule and pancreatic tail mass. Presenting symptoms are nonspecific, and involve abdominal pain, weight loss, and malaise. Adenocarcinoma Familial adenomatous polyposis Hereditary nonpolyposis colorectal cancer.


We report a case of a patient admitted at Hospital Mater Dei in Belo Horizonte, MG, Brazil, due to fibrolamellar hepatocarcinoma, and discuss the clinical, radiological and pathological features of this disease.

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Fibrolamellar hepatocellular carcinoma – Wikipedia

Synonyms or Alternate Spellings: Differential diagnosis must be done with nodular focal hyperplasia, hemangioma and classic hepatocellular carcinoma. Fibrolamellar hepatocellular carcinoma in the USA, Ann Surg Oncol ; Cases and figures Imaging differential diagnosis. In FHCC, plasma neurotensin and serum vitamin B12 binding globulin are commonly increased and are useful in monitoring the disease and detecting recurrence.

Occasionally it hepatocelukar be T2 hyperintense mimicking FNH 1.

Carcinoma hepatocelular sobre hígado no cirrótico

Radiology ; 3: Although recurrences and metastasis are common, surgery is still the treatment of choice for resectable metastasis, given the lack of other effective treatment options such as chemotherapy [ 46 ]. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

Prognosis of patients with fibrolamellar hepatocellular carcinoma versus conventional hepatocellular carcinoma: Distribution permitted for non-commercial purposes only.

Primary liver carcinoma arising in people younger than 30 years.