Development of hepatocellular carcinoma (HCC) in a patient 17 years after recovery from chronic hepatitis B and seroconversion to anti-HBs

Intern Med. 2007;46(1):29-33. doi: 10.2169/internalmedicine.46.1586. Epub 2007 Jan 1.

Abstract

A 63-year-old man was admitted to hospital in 2003 for treatment of a hepatocellular carcinoma (HCC). He was negative for HBs antigen (HBsAg) and anti-HCV antibody, and positive for anti-HBs. He had a past history of chronic hepatitis B. In 1986, HBsAg had become negative with the development of anti-HBs. In 2003, an HCC was detected and liver resection was carried out. Histological examination revealed moderately differentiated HCC and slightly fibrotic liver. It is suggested that a diagnosis of HCC, combined with negativity for HBsAg and anti-HCV antibody, may include cases of past recovery from chronic hepatitis B, such as this case.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Viral / immunology*
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / etiology*
  • Carcinoma, Hepatocellular / immunology
  • Disease Susceptibility
  • Hepatitis B / immunology*
  • Hepatitis B virus / immunology*
  • Humans
  • Liver / pathology
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / etiology*
  • Liver Neoplasms / immunology
  • Male
  • Middle Aged
  • Risk Factors

Substances

  • Antibodies, Viral