JaLCDOI |
10.18926/AMO/41327
|
FullText URL |
64_6_407.pdf
|
Author |
Ogata, Sho|
Horio, Takuya|
Sugiura, Yoshiaki|
Shimazaki, Hideyuki|
Saito, Hiroki|
Aiko, Satoshi|
Nakanishi, Kuniaki|
Kawai, Toshiaki|
|
Abstract |
Sarcoidosis is a systemic granulomatous inflammation of unknown etiology, and seems to involve the liver parenchyma in most cases. However, sarcoidosis-associated hepatocellular carcinoma is rare. We report here a case in which a hepatocellular carcinoma occurred within the liver, which was probably involved as a result of systemic sarcoidosis. A 57-year-old Japanese man had been followed up for 2 years because of diabetic nephropathy and sarcoidosis. On admission for pneumonia, imaging studies revealed an unexpected hepatic tumor. Histology revealed a hepatocellular carcinoma accompanied by T-lymphocytic infiltration and marked granulomatous inflammation, which was surrounding some tumor nodules. The background liver parenchyma exhibited a moderate degree of fibrosis with granulomatous inflammation. The patient had no other apparent liver disease such as viral hepatitis, steatohepatitis, or primary biliary cirrhosis. Therefore, in the present case, sarcoidosis may be considered the probable background etiology for hepatocarcinogenesis.
|
Keywords |
granuloma
hepatocellular carcinoma
lymphocytic infiltration
sarcoidosis
|
Amo Type |
Case Report
|
Published Date |
2010-12
|
Publication Title |
Acta Medica Okayama
|
Volume |
volume64
|
Issue |
issue6
|
Publisher |
Okayama University Medical School
|
Start Page |
407
|
End Page |
410
|
ISSN |
0386-300X
|
NCID |
AA00508441
|
Content Type |
Journal Article
|
language |
英語
|
Copyright Holders |
Okayama University Medical School
|
File Version |
publisher
|
Refereed |
True
|
PubMed ID |
21173811
|
Web of Sience KeyUT |
000285664200008
|