Yamasaki K, Imanishi T, Nishihata S, Kamiya N, Hayashida K, Kubo K, Mizuta Y, Iwanaga S, Murata I, Makiyama K
2nd Dept. of Internal Medicine, Nagasaki Univ. School of Med.
Gan No Rinsho. 1988 Jun;34(7):887-92.
A 27-year-old woman, post parturition, was admitted to hospital because of epigastric pain. Ultrasonography and abdominal computerized tomography revealed a giant mass in the left lobe of the liver. Celiac angiography showed a hypervascular mass with irregular vascularity. Serum HBs antigen proved negative. A left hepatic lobectomy was performed in March, 1985. Histology of the tumor revealed the trabecular type of a hepatocellular carcinoma with Edmondson grade 2 atypism, whereas the non-cancerous region of the liver showed chronic inactive hepatitis. This case is presented, because of the rarity of a hepatocellular carcinoma developing in such a young patient. In addition, reported cases of a hepatocellular carcinoma in the young in Japan are reviewed.