scholarly journals Hepatocellular Carcinoma Masquerading as a Large Renal Mass with Hepatic Invasion

2010 ◽  
Vol 10 ◽  
pp. 301-307 ◽  
Author(s):  
Joseph R. N. Zabell ◽  
Kenneth G. Nepple ◽  
Neal W. Wilkinson ◽  
Laila Dahmoush ◽  
Richard D. Williams
Keyword(s):  
Hepatocellular Carcinoma ◽  
Unusual Case ◽  
Surgical Excision ◽  
Primary Hepatocellular Carcinoma ◽  
Rare Occurrence ◽  
Tumor Spread ◽  
Radiographic Findings ◽  
Direct Extension ◽  
Primary Origin ◽  
Hepatic Invasion

Large masses are evaluated with imaging to assess primary origin and tumor spread. We present the unusual case of a 53-year-old male with a 17-cm right upper quadrant mass suspected to be renal or adrenal in origin based on radiographic findings. After surgical excision, the mass was subsequently discovered to be primary hepatocellular carcinoma with direct extension to the kidney and adrenal gland. A diagnosis of chronic hepatitis B was made postoperatively. Primary hepatocellular carcinoma with direct renal extension is an exceedingly rare occurrence based on our experience and review of the published literature.

scholarly journals Iatrogenic Inflammatory Fibrosis of Hard Palate in a 13-Year-Old Female Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Shanthan Mettu ◽  
Radhika Muppa ◽  
G. Siva Prasad Reddy ◽  
Srinivas Nallanchakrava ◽  
Sri Veda Gurugubelli
Keyword(s):  
Female Patient ◽  
Hard Palate ◽  
Unusual Case ◽  
Fibrous Tissue ◽  
Surgical Excision ◽  
Inflammatory Cells ◽  
Nerve Tissue ◽  
Rare Occurrence ◽  
Reactive Process ◽  
Tooth Number

Palatal swellings are rare in children and the incidence differs from that of the adult counterparts. When the palatal swellings do arise in children, they usually are palatal abscess from periapical region, and few cases like pleomorphic adenoma in young adults have also been reported. But inflammatory fibrosis of palate in children is a rare occurrence. Inflammatory fibrosis is formation of excess fibrous connective tissue in an organ or tissue, as a reparative or reactive process. This report describes an unusual case of iatrogenic inflammatory fibrosis on the palate due to extraction of tooth number 22 in a 13-year-old female patient. The patient presented with a single large well-circumscribed oval palatal swelling that was soft, fluctuant, not fixed, and nontender. Surgical excision of the lesion was done and it was sent for histopathological assessment. The biopsy showed fibrous tissue with collagen fibers, spindle shaped fibroblasts, neovascularization, RBCs, chronic inflammatory cells, and traces of salivary gland and nerve tissue.

scholarly journals Primary hepatocellular carcinoma in ectopic liver masquerading as left adrenal carcinoma: a rare occurrence

Rare Tumors ◽  
2010 ◽  
Vol 2 (2) ◽  
pp. 97-98 ◽  
Author(s):  
Vishwajeet Singh ◽  
Rahul Janak Sinha ◽  
Satya Narayan Sankhwar ◽  
Shailendra Kumar ◽  
Bandana Mehrotra ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Primary Hepatocellular Carcinoma ◽  
Adrenal Carcinoma ◽  
Rare Occurrence ◽  
Ectopic Liver

scholarly journals Isolated Progressive Enlargement of Head Mass as the First Symptom: A Rare Case Report of Cranial Metastasis of Hepatocellular Carcinoma and Literature Review

2021 ◽  
Author(s):  
Yuan-yuan Liu ◽  
Zhi-hua Zhou ◽  
Shuai Hu ◽  
Xin Su ◽  
jinxu zhou
Keyword(s):  
Hepatocellular Carcinoma ◽  
Rare Case ◽  
Life Quality ◽  
Surgical Excision ◽  
Parietal Bone ◽  
Primary Hepatocellular Carcinoma ◽  
Intracranial Metastasis ◽  
Skull Metastasis ◽  
Painless Mass ◽  
Progressive Enlargement

Abstract Background: This article presents a rare case of skull metastasis of primary hepatocellular carcinoma that manifests the isolated progressive enlargement of the head mass as the first symptom. Case presentation:A 65-year-old female patient presented an isolated painless mass in the head, which grew rapidly over the last month. Head CT revealed a 6.4 cm×5.6cm osteolytic destruction in the right parietal bone. MRI further revealed that the occupation was significantly enhanced in the T1 reinforced phase. The patient underwent total surgical resection. Postoperative pathology confirmed that the head mass was the skull metastasis from hepatocellular carcinoma (HCC). Conclusion: The case of skull metastasis from primary hepatocellular carcinoma is rare, and HCC patient with intracranial metastasis tends to have a rather poor prognosis. Surgical excision of the metastatic mass and radiotherapy can improve the life quality and prolong the survival time of the patient.

Giant pedunculated liver mass: primary hepatocellular carcinoma masquerading as hepatic haemangioma

2021 ◽  
Vol 14 (9) ◽  
pp. e242625
Author(s):  
Olivia Cohen ◽  
Muhammad Aleem ◽  
Steven Wolberink ◽  
Miklos Attila Perenyei
Keyword(s):  
Risk Factors ◽  
Hepatocellular Carcinoma ◽  
Case Reports ◽  
Surgical Excision ◽  
Sporadic Case ◽  
Primary Hepatocellular Carcinoma ◽  
Free Fluid ◽  
Liver Mass ◽  
History Of ◽  
Hepatic Haemangioma

A woman in her mid-60s was referred to surgeons with a 2-week history of worsening right-sided abdominal pain. CT demonstrated a large encapsulated, pedunculated hepatic lesion with active intracapsular bleeding and free fluid but nil further lesions. Findings suggested giant hepatic haemangioma; surgical excision took place the following day. Histopathology however confirmed malignancy. Pedunculated hepatocellular carcinoma (HCC) is rare but characteristically large and encapsulated. Sporadic case reports indicate that diagnosis is typically challenging and delayed with liver metastases at presentation. This case describes a patient with no clear risk factors for HCC found to have a well-defined, encapsulated and pedunculated mass but no detected metastasis or other lesions on initial CT. In this instance, subsequent MRI did identify further lesions in the liver. Such cases are limited in the literature: much remains to be learnt regarding presentation, differential diagnoses, investigation and management.

Diagnostic Value of Serum Ferritin in Primary Hepatocellular Carcinoma

Digestion ◽  
1984 ◽  
Vol 30 (4) ◽  
pp. 236-241 ◽  
Author(s):  
E. Giannoulis ◽  
C. Arvanitakis ◽  
A. Nikopoulos ◽  
I. Doutsos ◽  
A. Tourkantonis
Keyword(s):  
Hepatocellular Carcinoma ◽  
Serum Ferritin ◽  
Diagnostic Value ◽  
Primary Hepatocellular Carcinoma

scholarly journals Effect of timing of surgical resection of primary hepatocellular carcinoma on survival outcomes in elderly patients and prediction of clinical models

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yongfei He ◽  
Tianyi Liang ◽  
Shutian Mo ◽  
Zijun Chen ◽  
Shuqi Zhao ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Overall Survival ◽  
Liver Cancer ◽  
Elderly Patients ◽  
Surgical Resection ◽  
Influencing Factors ◽  
The Elderly ◽  
Primary Hepatocellular Carcinoma ◽  
Surgical Timing ◽  
Duration Of Surgery

Abstract Background The effect of time delay from diagnosis to surgery on the prognosis of elderly patients with liver cancer is not well known. We investigated the effect of surgical timing on the prognosis of elderly hepatocellular carcinoma patients undergoing surgical resection and constructed a Nomogram model to predict the overall survival of patients. Methods A retrospective analysis was performed on elderly patients with primary liver cancer after hepatectomy from 2012 to 2018. The effect of surgical timing on the prognosis of elderly patients with liver cancer was analyzed using the cut-off times of 18 days, 30 days, and 60 days. Cox was used to analyze the independent influencing factors of overall survival in patients, and a prognostic model was constructed. Results A total of 232 elderly hepatocellular carcinoma patients who underwent hepatectomy were enrolled in this study. The cut-off times of 18, 30, and 60 days were used. The duration of surgery had no significant effect on overall survival. Body Mass Index, Child-Pugh classification, Tumor size Max, and Length of stay were independent influencing factors for overall survival in the elderly Liver cancer patients after surgery. These factors combined with Liver cirrhosis and Venous tumor emboli were incorporated into a Nomogram. The nomogram was validated using the clinical data of the study patients, and exhibited better prediction for 1-year, 3-year, and 5-year overall survival. Conclusions We demonstrated that the operative time has no significant effect on delayed operation in the elderly patients with hepatocellular carcinoma, and a moderate delay may benefit some patients. The constructed Nomogram model is a good predictor of overall survival in elderly patients with hepatectomy.

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