Osawa Mitsutaka, Saitoh Satoshi, Fujiyama Shunichiro, Kawamura Yusuke, Sezaki Hitomi, Hosaka Tetsuya, Akuta Norio, Kobayashi Masahiro, Suzuki Yoshiyuki, Suzuki Fumitaka, Ikeda Kenji, Kinowaki Keiichi, Fujii Takeshi, Fukusato Toshio, Kondo Fukuo, Kumada Hiromitsu
Department of Hepatology, Toranomon Hospital, Japan.
Department of Pathology, Toranomon Hospital, Japan.
Intern Med. 2017 Nov 15;56(22):3033-3040. doi: 10.2169/internalmedicine.9021-17. Epub 2017 Sep 25.
A 35-year-old male patient who showed sustained virological response (SVR) following treatment for hepatitis C virus infection developed liver cancer. The lesion was identified by imaging studies, with atypical findings suggestive of hepatocellular carcinoma. Partial hepatectomy was performed and the histopathological diagnosis was cholangiolocellular carcinoma (CLC). Only a few cases of CLC have been described in young patients who achieved SVR. Hepatologists should recognize the potential development of CLC even in young patients who achieve SVR, and the need for a close follow-up by imaging studies. In addition, true characteristics and cell origin of CLC were discussed in this report.
一名35岁男性患者在接受丙型肝炎病毒感染治疗后出现持续病毒学应答(SVR),随后发生了肝癌。通过影像学检查发现了病变,其非典型表现提示肝细胞癌。进行了部分肝切除术,组织病理学诊断为胆管细胞癌(CLC)。在实现SVR的年轻患者中,仅有少数CLC病例被报道。肝病学家应认识到,即使在实现SVR的年轻患者中也可能发生CLC,并且需要通过影像学检查进行密切随访。此外,本报告还讨论了CLC的真实特征和细胞起源。