고령 여성에서 발생한 섬유층판 간세포암 1예

Abstract

Fibrolamellar hepatocellular carcinoma (FLHCC) is an entiry distinct from ordinary hepatocellular carcinoma (HCC) and is very rare in oriental countries. In contrast to the ordinary type of HCC, FLHCC is predominantly a disease of young adults and shows no sex predilection. In addition, it is rarely associated with positive hepatitis-B surface antigen, chronic liver disease, and a high level of serum-fetoprotein (AFP). FLHCC has a high resectability rate than that of ordinary HCC, because of its occurrence in adolescents and the lack of underlying disease. Here, we report a case of FLHCC observed in a 78 year old woman. She had a dyspepsia for one month and was older than average-age patient with FLHCC, but had many characteristics of FLHCC. The tumor was removed by right anterior and left medial segmentectomy, and diagnosed as FLHCC.