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Development of hepatocellular carcinoma in cardiac congestive liver fibrosis: report of a case

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Abstract

We report an extremely rare case of the development of hepatocellular carcinoma (HCC) in cardiac congestive liver fibrosis. A 62-year-old female presented to our hospital with a complaint of right upper quadrant pain. The patient had undergone cardiac surgery for pulmonary valve insufficiency, pulmonary stenosis and atrial septal defect when she was fifteen years of age. During the subsequent 47 years, she had occasionally suffered from various symptoms associated with right-sided heart failure due to pulmonary stenosis. Computed tomography revealed a liver tumor measuring 63 mm in diameter in segment 5 and other liver tumors in segments 5 (18 mm), 8 (17 mm) and 4 (12 mm), which were diagnosed as HCCs. There was no evidence of stenosis in any hepatic veins or inferior vena cava, and no infectious hepatitis or alcoholic liver damage. Anterior sectionectomy and partial resection of segment 4 was performed, and histological examination showed that these tumors were HCC accompanied by congestive liver fibrosis. Nine months later, multiple recurrent HCCs were detected in segment 6, and transcatheter arterial chemoembolization was employed thereafter. The patient died 40 months after surgery due to advanced recurrence.

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Disclosures

Conflict of interest:

Koichiro Ohashi, Yuji Iimuro, Kazuhiro Suzumura, Seikan Hai, Shogo Tanaka, Tadamichi Hirano, Hideaki Sueoka, Seiichi Hirota and Jiro Fujimoto declare that they have no conflict of interest.

Human/Animal Rights:

This study has been approved by the local ethics committee, Hyogo College of Medicine.

Informed Consent:

Informed consent was obtained from this patient for submitting.Thus there will be no problem with publishing our manuscript.

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Authors and Affiliations

  1. Department of Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan

    Koichiro Ohashi, Yuji Iimuro, Kazuhiro Suzumura, Seikan Hai, Tadamichi Hirano, Hideaki Sueoka & Jiro Fujimoto

  2. Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi Abeno-ku, Osaka, 545-8585, Japan

    Shogo Tanaka

  3. Department of Surgical Pathology, Hyogo College of Medicine, 1-1 Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan

    Seiichi Hirota

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  1. Koichiro Ohashi
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  2. Yuji Iimuro
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  3. Kazuhiro Suzumura
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  4. Seikan Hai
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  5. Shogo Tanaka
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  6. Tadamichi Hirano
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  7. Hideaki Sueoka
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  8. Seiichi Hirota
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  9. Jiro Fujimoto
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Corresponding author

Correspondence to Koichiro Ohashi.

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Ohashi, K., Iimuro, Y., Suzumura, K. et al. Development of hepatocellular carcinoma in cardiac congestive liver fibrosis: report of a case. Clin J Gastroenterol 8, 143–147 (2015). https://doi.org/10.1007/s12328-015-0564-0

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  • DOI: https://doi.org/10.1007/s12328-015-0564-0

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