Fibrolamellar HepatocellularCarcinoma: A Case Report

Fibrolamellar hepatocellular carcinoma is a relatively rare condition that occurs in noncirrhotic livers, most frequently in adolescents or young adults with no gender predominance. The prognosis is more favorable than that of the usual hepatocellular carcinoma. Here is the case of an eighteen-year-old male patient with history of right upper quadrant abdominal pain, and no hepatomegaly. Liver function tests and serological markers for viral B and C hepatitis and tumor markers were normal. CT scan demonstrated a large hypervascular lesion in the liver and the histological examination was reported as a typical fibrolamellar hepatocellular carcinoma. Intra-arterial chemotherapy and embolization have been done for the patient. In his recent imaging the mass seems to become smaller and is considered operable. After 2.5 years he does not have any complaint and has gained some weight.