A Case of Hepatocellular Carcinoma in a Patient with Crohn's Disease / 대한내과학회지
Korean Journal of Medicine
; : 424-429, 2015.
Article
em Ko
| WPRIM
| ID: wpr-180825
Biblioteca responsável:
WPRO
ABSTRACT
Hepatocellular carcinomas (HCCs) in patients with Crohn's disease (CD) without underlying chronic hepatitis or liver cirrhosis are extremely rare. Previously reported cases occurred in patients who had developed CD at a young age and had been treated with immunosuppressive agents long-term. We herein report the first case of HCC in a 34-year-old patient with CD in Korea. The patient was treated with azathioprine for 14 years and had undergone repeated surgeries for CD. During the follow-up period, the patient was hospitalized for colon perforation and pericolic abscess formation. Computed tomography showed a liver mass, and HCC was diagnosed based on liver biopsy. The patient underwent right hemicolectomy for colon perforation and transcatheter arterial chemoembolization followed by radiofrequency ablation for the HCC. The present case is similar to previously reported cases with the exception of the liver pathology findings, which exhibited neither primary sclerosing cholangitis nor focal hepatic glycogenolysis.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Patologia
/
Azatioprina
/
Biópsia
/
Colangite Esclerosante
/
Doença de Crohn
/
Seguimentos
/
Ablação por Cateter
/
Colo
/
Carcinoma Hepatocelular
/
Abscesso
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
País/Região como assunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2015
Tipo de documento:
Article