SMALL HEPATOCELLULAR CARCINOMA WITH LIVER CIRRHOSIS IN A ALCOHOLIC PATIENT

Abstract

A 46-year-old male was admitted to Akita University Hospital because of hematemesis and abdominal distension. He was alcoholic (total ethanol consumption was 1, 700 kg). A smooth semispherical protrusion on the lateral inferior area of left lobe of the liver with liver cirrhosis was found under laparoscopic examination. Abdominal CT study showed a protuberant lesion on the liver surface. Abdominal ultrasonography showed an echogenic mass with posterior enhancement in the liver. Tumor could not be detected by celiac angiography. Enucleation of mass and subcardial transection with splenectomy were performed. Mass was measured 10 mm in diameter and surrounded by a thin capsule. Histologic appearance revealed trabecular arrangement of Grade II tumor cells.