Mujer joven con hepatocarcinoma fibrolamelar metastásico; citorreducción y HIPEC. A propósito de un caso

Jesús Morales-Maza, Óscar Santes, Uriel Clemente-Gutiérrez, Rubén Cortés
2018 Revista Chilena de Cirugía  
Young woman with metastatic fibrolamellar hepatocarcinoma; cytoreductive surgery and HIPEC. A case report Aim: To report a clinical case of metastatic fibrolamellar hepatocarcinoma and its multidisciplinary management. Case report: 24 year-old patient with abdominal pain, bloating and fever. A computed tomography of the abdomen was performed; an irregular hepatic tumor was found. A laparotomy was performed with evidence of multiple implants in the abdominal cavity and the histopathology report
more » ... topathology report was metastatic fibrolamellar hepatocarcinoma. It was decided to perform cytoreductive surgery plus HIPEC. The patient´s survival was 11 months. Discussion: Fibrolamellar hepatocarcinoma is a rare tumor. There is still no consensus on the treatment of choice in patients with metastases with good functionality status. Current management is based on systemic chemotherapy and surgical resection in localized cases. In the case of our patient, cytoreductive surgery plus HIPEC was performed with the intention of improving survival. More evidence is needed to define this strategy as standard treatment.
doi:10.4067/s0718-40262018000500456 fatcat:qog6mzbdunaixc4liul3jcnzwa