Incidental finding of a hepatic lesion: differential diagnostic problems for fibrolamellar hepatic carcinoma.
case_report · Level V
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Abstract
We report the case of a 39-yr-old female with a liver lesion that was incidentally detected by ultrasound. Examination of biopsy specimens revealed focal nodular hyperplasia. A metastatic tumor in the right os ilium developed in the following weeks and showed specific uptake of 99mTc-hepatic 2,6-dimethyliminodiacetic acid (HIDA), suggesting metastasis from a differentiated hepatocellular carcinoma. The final pathologic diagnosis was multifocal, solid and glandular hepatocellular carcinoma, partly differentiated as fibrolamellar carcinoma, and an osseous metastasis from the differentiated hepatocellular carcinoma.
Medical subject headings
- Bone Neoplasms
- Carcinoma, Hepatocellular
- Ilium
- Liver Neoplasms