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Hokama A, Arakaki S, Ishino S, Nakagawa Y, Tabata S, Agarie D, Kuwae S, Zukeyama R, Maeshiro T, Tsuruta Y, Matsuzaki A, Wada N, Takatsuki M, Fujita J. Hepatocellular Carcinoma in a Patient With Crohn's Disease. Cureus 2021; 13:e16570. [PMID: 34430172 PMCID: PMC8378283 DOI: 10.7759/cureus.16570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2021] [Indexed: 11/28/2022] Open
Abstract
A 44-year-old woman with a 26-year history of Crohn’s disease (CD) presented with intermittent fever, vomiting, and watery diarrhea. Her medication included an elemental diet, mesalazine, and infliximab. Liver profile and viral hepatitis markers were normal. Computed tomography scans showed a hepatic tumor by chance. Serum tumor markers disclosed elevated protein induced by vitamin K absence-II. With a diagnosis of hepatocellular carcinoma (HCC), she underwent a hepatic resection of the tumor, revealing well-to-moderately differentiated HCC. The nontumor region of the liver disclosed the absence of cirrhosis or other diseases. Here, the development of HCC in CD without underlying liver diseases is discussed with a review of the literature.
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Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Shingo Arakaki
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Shinichiro Ishino
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Yutaka Nakagawa
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Souhei Tabata
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Daiki Agarie
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Satoshi Kuwae
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Ryuta Zukeyama
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Tatsuji Maeshiro
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Yuma Tsuruta
- Department of Pathology, University of the Ryukyus Hospital, Nishihara, JPN
| | - Akiko Matsuzaki
- Department of Pathology, University of the Ryukyus Hospital, Nishihara, JPN
| | - Naoki Wada
- Department of Pathology and Oncology, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Mitsuhisa Takatsuki
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
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