[Rapid progression of hepatocellular carcinoma after surgery: apropos of a case and review of the literature]

Gastroenterol Hepatol. 2010 Oct;33(8):569-73. doi: 10.1016/j.gastrohep.2010.03.008. Epub 2010 Jun 2.
[Article in Spanish]

Abstract

We report the case of a young man with chronic hepatitis B infection of probable perinatal acquisition who was diagnosed with hepatocellular carcinoma at a very early stage (BCLC 0) with a highly favorable prognosis. However, the tumor progressed rapidly and the patient died within months. Currently, there are few data that could help to identify cases likely to show rapid progression and which could prompt initiation of aggressive therapies that might prevent or control such progression.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • Biomarkers, Tumor / blood
  • Carcinoma, Hepatocellular / diagnostic imaging
  • Carcinoma, Hepatocellular / etiology
  • Carcinoma, Hepatocellular / pathology*
  • Carcinoma, Hepatocellular / surgery
  • Carcinoma, Hepatocellular / therapy
  • Chemoembolization, Therapeutic
  • Combined Modality Therapy
  • Disease Progression
  • Doxorubicin / administration & dosage
  • Fatal Outcome
  • Hepatectomy* / methods
  • Hepatitis B, Chronic / complications
  • Hepatitis B, Chronic / congenital
  • Hepatitis B, Chronic / virology
  • Humans
  • Interferons / therapeutic use
  • Lamivudine / therapeutic use
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / etiology
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery
  • Liver Neoplasms / therapy
  • Magnetic Resonance Imaging
  • Male
  • Ultrasonography
  • Viral Load
  • alpha-Fetoproteins / analysis

Substances

  • Antiviral Agents
  • Biomarkers, Tumor
  • alpha-Fetoproteins
  • Lamivudine
  • Doxorubicin
  • Interferons