Document Detail


An aged male patient with autoimmune hepatitis complicated by hepatocellular carcinoma.
MedLine Citation:
PMID:  10397080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 82-year-old male patient was admitted for liver dysfunction. Laboratory test showed the following data; aspartate aminotransferase (AST) 79 IU/l, alanine aminotransferase (ALT) 28 IU/l, total bilirubin (T. Bil) 0.9 U, zinc sulfate turbidity test (ZTT) 48.9 U, gamma-globulin 4.9 g/dl, immunoglobulin G (IgG) 5,046 mg/dl, anti-nuclear antibodies x 320, anti-mitochondrial antibodies (-), hepatitis B virus surface antigen (HBsAg) (-), HBcAb (-), anti-hepatitis C virus (anti-HCV) (-), hepatitis C virus (HCV-RNA) (-), anti-hepatitis G virus (anti-HGV) (-), alpha-fetoprotein 306.8 ng/ml, carcinoembryonic antigen (CEA) 2.3 ng/ml, carbohydrate antigen (CA) 19-9 77.2 U/ml. Abdominal ultrasonography and computed tomography showed a large mass occupying most of the right lobe and portal thrombosis in the liver. Liver biopsy revealed cirrhosis with inactive hepatitis in the nontumorous lesion and well-differentiated hepatocellular carcinoma in the tumorous lesion. We report a rare case of an aged male patient with autoimmune hepatitis complicated by hepatocellular carcinoma.
Authors:
K Yamazaki; T Kamiyama; S Shiba; A Ebata; K Sugiura; O Matsuda; K Nakamura; Y Tanaka; C Sato
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  38     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-08-09     Completed Date:  1999-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  422-5     Citation Subset:  IM    
Affiliation:
Tokyo Metropolitan Fuchu Hospital, Department of Internal Medicine.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography
Carcinoma, Hepatocellular / complications*,  diagnosis
Hepatitis, Autoimmune / complications*,  diagnosis
Humans
Liver Function Tests
Liver Neoplasms / complications*,  diagnosis
Male
Tomography, X-Ray Computed

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