Fibrolamellar hepatocellular carcinoma in a Thai man who presented with hypoglycemia: case report and review of literature.

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dc.contributor.authorTangkijvanich, Pen_US
dc.contributor.authorThong-Ngam, Den_US
dc.contributor.authorKullavanijaya, Pen_US
dc.contributor.authorSuwangool, Pen_US
dc.date.accessioned2009-05-27T19:19:24Z
dc.date.available2009-05-27T19:19:24Z
dc.date.issued2000-07-10en_US
dc.descriptionChotmaihet Thangphaet. 39 references.en_US
dc.description.abstractWe present a case of fibrolamellar hepatocellular carcinoma (FLHCC) in a 22 year old Thai man whose presenting symptom was hypoglycemic coma with right hemiparesis. The serum marker for hepatitis B virus (HBsAg) was positive and serum AFP was very high (over 100,000 IU/ml). The abdominal ultrasonography revealed a solitary heterogenic mass, size 5.5 x 6.5 cm in the right lobe. Chest X-ray showed multiple lung metastases. Ultrasound-guided needle liver biopsy was performed and typical histologic features of FLHCC in non-cirrhotic liver were diagnosed. The patient's comatose state and neurological deficits recovered rapidly after glucose administration. Unfortunately, the tumor mass could not be resected on account of far-advanced stage with metastases. Here, we also review of the literature concerning FLHCC in many aspects.en_US
dc.description.affiliationDepartment of Biochemistry, Faculty of Medicine, Chulalongkorn University Hospital, Bangkok, Thailand.en_US
dc.identifier.citationTangkijvanich P, Thong-Ngam D, Kullavanijaya P, Suwangool P. Fibrolamellar hepatocellular carcinoma in a Thai man who presented with hypoglycemia: case report and review of literature. Journal of the Medical Association of Thailand. 2000 Jul; 83(7): 809-16en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/40903
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshBiopsy, Needleen_US
dc.subject.meshCarcinoma, Hepatocellular --complicationsen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshFatal Outcomeen_US
dc.subject.meshHumansen_US
dc.subject.meshHypoglycemia --diagnosisen_US
dc.subject.meshLiver Neoplasms --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.titleFibrolamellar hepatocellular carcinoma in a Thai man who presented with hypoglycemia: case report and review of literature.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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