tailieunhanh - Báo cáo y học: "Well-differentiated gall bladder hepatoid carcinoma producing alpha-fetoprotein: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Well-differentiated gall bladder hepatoid carcinoma producing alpha-fetoprotein: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Well-differentiated gall bladder hepatoid carcinoma producing alpha-fetoprotein a case report Ching-Yun Kao1 Chian-Ro Chang1 Hung Chiang2 How-Tshung Chen1 Shih-Ming Ma1 and Che-Yu Cheng1 Addresses 1West Garden Hospital Taipei Taiwan ROC and 2Taipei Institute of Pathology Taipei Taiwan ROC Email CK - cygau0308@ CC - 0018@ HC - joanne@ HTC - 0026@ SM - docma@ CYC - cycheng@ Corresponding author Received 17 August 2008 Accepted 23 January 2009 Published 26 June 2009 Journal ofMedical Case Reports 2009 3 7303 doi 1752-1947-3-7303 This article is available from http jmedicalcasereports article view 7303 2009 Kao et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Gall bladder carcinoma is rare and metastatic gall bladder carcinoma from hepatocellular carcinoma has been reported in only a few patients. Case presentation We present a 73-year-old man with a history of hepatitis B virus-related liver cirrhosis and hepatocellular carcinoma. He received transcatheter arterial chemoembolization and was diagnosed to have an alpha-fetoprotein producing gall bladder tumor with intraluminal growth. Open cholecystectomy was performed. Pathologic examination of the lesion revealed a well-differentiated hepatoid carcinoma. The lesion was thought most likely to be a metastatic lesion from previous hepatocellular carcinoma. His alpha-fetoprotein level dropped to normal levels five months after the surgery. Conclusion This unusual intraluminal growing tumor proved to be a well-differentiated hepatoid carcinoma most likely a metastatic .