Cosme A, Montalvo I, Sánchez J, Ojeda E, Torrado J, Zapata E, Bujanda L, Gutiérrez A, Arenas I
Servicio de Aparato Digestivo, Hospital Infantil La Paz, Madrid, Spain.
Gastroenterol Hepatol. 2005 Dec;28(10):622-5. doi: 10.1016/s0210-5705(05)71526-0.
Type III glycogen storage disease is a hereditary disorder with autosomal recessive transmission. It is characterized by accumulation of abnormal glycogen in the liver and, in 80% of patients, in muscle. The liver can also show fibrosis and sometimes cirrhosis. Until 2000, 9 cases of cirrhosis had been published, 3 of which showed associated hepatocarcinoma. We present the case of a 31-year-old woman, diagnosed in childhood with type III glycogen storage disease, who 30 years after onset developed a hepatocellular carcinoma with portal thrombosis in the context of advanced cirrhosis. This is the first case to be reported in the Spanish literature of type III glycogen storage disease associated with hepatocellular carcinoma.
III型糖原贮积病是一种常染色体隐性遗传的遗传性疾病。其特征是肝脏中异常糖原蓄积,80%的患者肌肉中也有糖原蓄积。肝脏还可出现纤维化,有时发展为肝硬化。到2000年,已发表9例肝硬化病例,其中3例伴有肝细胞癌。我们报告一例31岁女性病例,该患者童年时被诊断为III型糖原贮积病,发病30年后在晚期肝硬化背景下发生肝细胞癌并伴有门静脉血栓形成。这是西班牙文献中首次报道的III型糖原贮积病合并肝细胞癌的病例。