UNUSUAL SURGERY FOR A HEPATOCARCINOMA DISGUISED AS AN ADENOMA

Abstract Introduction Hepatic neoformations should always be adequately evaluated, even if they are suspected of being benign. We present a case hepatic adenoma that turned out to hepatocarcinoma. Clinical A 38-year-old woman was admitted the general surgery clinic due ultrasound finding neoplasm. Preoperative imaging tests and biopsy led diagnosis adenoma. An abdominal CT scan showed polylobulated expansive lesion occupying almost completely segments 5, 6 8 (11 cm) an additional in S8 (15 mm). The main contact with right vein, middle retrohepatic vena cava, portal vein bifurcation. Surgical exeresis neoformation performed. surgical approach required subluxation liver get direct control veins, rather than proceeding anteroposterior direction. pathological anatomy mass compatible hepatocellular carcinoma solid-trabecular growth pattern clear cell features. heterogeneous neoplastic differentiation indicative hepatocarcinoma developed on previous Discussion This illustrates challenges can arise correct definition analysis all available elements essential planning treatment tumors.