Liver metastasis from hepatoid adenocarcinoma of the esophagus mimicking hepatocellular carcinoma  

食管肝样腺癌的肝转移误诊为肝细胞癌

作　　者：Amir Kashani Jonathan C.Ellis Melissa Kahn Laith H.Jamil 

机构地区：[1]Division of Gastroenterology,Cedars-Sinai Medical Center,Los Angeles,CA,USA [2]Department of Pathology and Laboratory Medicine,Cedars-Sinai Medical Center,Los Angeles,CA,USA

出　　处：《Gastroenterology Report》2017年第1期67-71,I0003,共6页胃肠病学报道（英文）

摘　　要：Alpha-fetoprotein(AFP)-producing adenocarcinoma,histologically mimicking hepatocellular carcinoma(HCC),is a distinct entity known as hepatoid adenocarcinoma(HAC).Reported cases of HAC arising from the esophagus are extremely rare.Due to common liver metastasis and elevated AFP levels in patients with esophageal HAC,differentiation of HAC with liver metastasis from HCC could be challenging.We describe a case of esophageal HAC that presented with a liver mass showing hepatoid features and elevated serum AFP levels.Initial presentation was suspicious for HCC.Upon further diagnostic work-up,the patient was diagnosed with esophageal HAC with liver metastasis.The distinction between these two entities is particularly important because HAC is more aggressive,and its therapeutic options are very limited.

关 键 词：hepatoid adenocarcinoma ALPHA-FETOPROTEINS hepatocellular carcinoma 

分 类 号：R73[医药卫生—肿瘤]