Abstract
Case report of a 47-year-old woman with a mass in the lower abdomen, was referred
to us by the surgeon, two years after orthotopic liver transplantation for hepatocellular
carcinoma (HCC). Serum alpha-fetoprotein (AFP), which was elevated at the time of
initial diagnosis, was in the normal range. Frozen section examination during exploratory
laparotomy showed appearances consistent with metastatic HCC in the ovary. This was
confirmed at the final pathological examination. Definitive pathological conclusions
were based on the findings of tumor cells arranged in trabecular and papillary aggregates,
and the presence of bile-pigment, along with the patients history. This is the sixth
case of metastatic HCC in the ovary being described in literature and the first case
in which this metastasis was not accompanied by elevated AFP.
Keywords
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References
- Epidemiology and diagnosis of hepatocellular carcinomas in cirrhosis.Ann. Chir. 1998; 52: 511-517
- Surgical treatment of recurrent hepatocellular carcinoma.Hepato-Gastroenterol. 1993; 40: 333-336
- Pathology of hepatocellular carcinoma in Japan.Cancer. 1975; 51: 863-877
- Hepatocellular carcinoma metastatic to the ovary: a case report.Am. J. Obstet. Gynecol. 1983; 146: 715-717
- Hepatocellular carcinoma metastatic to the ovary: a report of three cases discovered during life with discussion of the differential diagnosis of hepatoid tumors of the ovary.Hum. Pathol. 1992; 23: 574-580
- Long-term results after resection of hepatocellular carcinoma: experience of 480 cases.Hepato-Gastroenterol. 1993; 40: 328-332
- Prognosis of hepatocellular carcinoma patients with extrahepatic metastasis.Hepato-Gastroenterol. 1997; 44: 251-257
Article info
Publication history
Accepted:
August 12,
1999
Received in revised form:
August 1,
1999
Received:
April 29,
1999
Identification
Copyright
© 2000 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.
