Title of article
Hepatocellular Carcinoma in Pregnancy with Unusual Presentations
Author/Authors
Norouzi, Alireza Golestan Research Center of Gastroenterology and Hepatology - Golestan University of Medical Sciences, Gorgan , Naeimi Tabei, Mohammad Golestan University of Medical Sciences, Gorgan , Tavassoli, Samaneh Mazandaran University of Medical Sciences, Sari , Besharat, Sima Golestan Research Center of Gastroenterology and Hepatology - Golestan University of Medical Sciences, Gorgan
Pages
4
From page
228
To page
231
Abstract
Hepatocellular carcinoma (HCC) is very rare during pregnancy and has a worse prognosis in pregnant women compared to those who are not pregnant. We present a case of HCC in a 41- year-old pregnant patient who was referred to our academic hospital. The patient presented with chief complaints of abdominal pain, jaundice, edema and hypertension. Laboratory results were notable for elevated liver enzymes and features of microangiopathic hemolytic anemia with normal alpha fetoprotein (AFP) and elevated cancer antigen 125 (CA125). At laparotomy for termination of pregnancy, multiple massive lesions were detected in the liver. Histologic evaluation showed features of HCC. HCC must be included in the differential diagnosis of any pregnant patient who presents with elevated liver enzymes and hemolysis.
Keywords
Hepatocellular carcinoma (HCC) , Pregnancy , Prognosis
Journal title
Astroparticle Physics
Serial Year
2012
Record number
2417410
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