An Atypical Presentation of Hepatocellular Carcinoma with Multisite Metastasis following a Curative Liver Transplant

Author:

Gidley Patrick1,Patel Anand2ORCID,Barkan Guliz A.3ORCID,Jawahar Anugayathri4ORCID

Affiliation:

1. Department of Radiology, Loyola University Medical Center, Maywood, Illinois, United States

2. Loyola University Chicago- Stritch School of Medicine, Maywood, Illinois, United States

3. Department of Pathology, Loyola University Medical Center, Maywood, Illinois, United States

4. Department of Radiology, Northwestern University- Feinberg School of Medicine, Chicago, Illinois, United States

Abstract

AbstractHepatocellular carcinoma (HCC) is the most common primary liver malignancy, and liver transplantation is usually curative. HCC recurrences are rare after curative treatment options, although they are prevalent depending on various risk factors. We present a 71-year-old female patient with an unusual pattern of disease progression following a curative liver transplant with a metastatic presentation in the absence of alpha-fetoprotein elevation after 3 years of disease-free clinical presentation. We present this case to emphasize the importance of intermittent cross-sectional imaging in addition to ultrasound screening in HCC surveillance.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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