Hepatocellular Carcinoma Arising from Hepatocellular Adenoma in an Elderly Male Patient.

Manuel Lim, Jong Man Kim, Ji Eun Kwon, Eun Sung Jeong, Jaehun Yang, Okjoo Lee, Kyeong Deok Kim, Sang Jin Kim, Jinsoo Rhu, Gyu-Seong Choi, Jae-Won Joh
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Abstract

Hepatocellular adenoma is a benign tumor of the liver occurring predominantly in young women taking oral contraceptives. The malignant transformation of hepatocellular adenoma into hepatocellular carcinoma has rarely been reported. Herein, we report the case of an elderly male patient with hepatocellular carcinoma that developed from hepatocellular adenoma. The patient’s high risk for surgery and conflicting biopsy and imaging results made it difficult to determine the treatment direction. Eventually, the mass was completely removed by laparoscopic left hemi-hepatectomy without complications.

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老年男性肝细胞腺瘤并发肝细胞癌1例。
肝细胞腺瘤是一种肝脏良性肿瘤,主要发生在服用口服避孕药的年轻女性。肝细胞腺瘤恶性转化为肝细胞癌的报道很少。在此,我们报告一例老年男性肝细胞癌由肝细胞腺瘤发展而来。患者手术风险高,活检和影像学结果不一致,难以确定治疗方向。最终,通过腹腔镜左半肝切除术完全切除肿块,无并发症。
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