Abstract
In a group of 50 patients seen with primary liver cell carcinoma over a period of five years, 38 had cirrhosis. In four patients the cirrhosis was due to autoimmune chronic active hepatitis. None of the patients had markers of hepatitis B virus infection, but in three of the four, serum autoantibodies were present. Coexisting autoimmune disease was present in two. Corticosteroids induced remission in all patients, and the liver disease appeared quiescent at the time primary liver cell carcinoma developed.
Similar content being viewed by others
References
Edmondson HA, Steiner PA: Primary carcinoma of the liver. A study of 1,000 cases amongst 48,900 necropsies. Cancer 7:462–503,1954
Higginson J: Relation of carcinoma of liver to cirrhosis, malaria, syphilis and parasitic diseases. Schweiz Z Allg Pathol 18:625–643, 1955
Johnson PJ, Krasner N, Portmann B, Eddleston, ALNF, Williams R: Hepatocellular carcinoma in Great Britain: influence of age, sex, HBsAg status and etiology of underlying cirrhosis. Gut 19:1022–1026, 1978
Read AE, Sherlock S, Harrison CV: Active “juvenile” cirrhosis considered as part of a systemic disease and the effect of corticosteroid therapy. Gut 4:378–393, 1963
Mistilis SP, Skyring AP, Blackburn CRB: Natural history of chronic active hepatitis. Clinical features, course, diagnostic criteria, morbidity, mortality and survival. Aust Ann Med 17:214–223, 1968
Joske RA, Lawrence BH, Matz LT: Familial active chronic hepatitis with hepatocellular carcinoma. Gastroenterology 62:441–444, 1972
Holborow J, Johnson GD: Antinuclear factor in systemic lupus erythematosus. A consideration of the immunofluorescent method of detecting antinuclear antibodies with results obtained in a family study. Arthritis Rheum 7:119–127, 1964
McCaughan G, Parsons C, Gallagher ND: Primary hepatocellular carcinoma in Australia, etiological considerations. Med J Aust 1:304–306, 1979
Lee FI: Cirrhosis and hepatoma in alcoholics. Gut 7:77–85, 1966
Krasner N, Johnson PJ, Portmann B, Watkinson G, MacSween RNM, Williams R: Hepatocellular carcinoma in primary biliary cirrhosis, report of four cases. Gut 20:255–258, 1978
MacKay IR: Cirrhosis and other diseases of the liver.In Immunological Diseases, 2nd ed, M Samter (ed). Boston, Little, Brown, 1971, pp 1323–1345
Cook GC, Mulligan R, Sherlock S: Controlled trial of corticosteroid therapy in chronic active hepatitis. Q J Med 40:159–185, 1971
Kirk AP, Jain S, Pocock S, Thomas HC, Sherlock S: Late results of the Royal Free Hospital prospective controlled trial of prednisolone therapy in hepatitis B surface antigen negative chronic active hepatitis. Gut 21:78–83, 1980
Barnes BE: Dermatomyositis and malignancy. A review of the literature. Ann Intern Med 84:68–76, 1976
Bloch KJ, Buchanan WW, Wohl MJ, Bonim J: Sjögren's Syndrome: A clinical, pathological and serological study of 62 cases. Medicine 44:187–231, 1965
Penn I: Cancer in immunosuppressed patients. Transplant Proc 7 Suppl. 1:553, 1975
Author information
Authors and Affiliations
Additional information
This work was supported in part by an Alfred Hospital Research Scholarship.
Rights and permissions
About this article
Cite this article
Jakobovits, A.W., Gibson, P.R. & Dudley, F.J. Primary liver cell carcinoma complicating autoimmune chronic active hepatitis. Digest Dis Sci 26, 694–699 (1981). https://doi.org/10.1007/BF01316857
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01316857