A Case of Juvenile Hepatocellular Carcinoma without Hepatitis Infection

Miwa churiki¹⁾, Iwao Ikai¹⁾, Masayuki yamamoto¹⁾, Toshio Matsushita²⁾, Masato Noguchi³⁾, Tadashi Sago³⁾, Yoshio Yamaoka¹⁾

Department of Gastroenterological Surgery, Kyoto University Graduate School of Medicine¹⁾
Department of Surgery²⁾ and Radiology³⁾, Fukui Red Cross Hospital

We report a 17-year-old male patient with hepatocellular carcinoma (HCC) without hepatitis. His first complaint was severe epigastralgia which suggested tumor rupture. CT and US revealed multiple tumors in both lobes of the liver. But emergency selective angiography did not reveal extravasation, and transcsatheter arterial chemoembolization was performed. With no particular findings in the upper and lower gastrointestinal tract, he was diagnosed as having primary liver cancer. He had neither hepatitis B or C virus related antigens nor antibodie. One year after the onset, he was referred to our hospital and underwent a left trisegmentectomy of the liver. He is doing well without recurrence 19 months after surgery. This is a rare case of juvenile HCC without a past history of viral hepatitis.

Key words
juvenile hepatocellular carcinoma, hepatocellular carcinoma without hepatitis infection

Reprint requests
Iwao Ikai Department of Gastroenterological Surgery, Kyoto University Graduate School of Medicine
54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-01 JAPAN

Accepted
September 9, 1997

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