Hepatocarcinoma, porfiria y hemosiderosis. Una asociación no reportada en nuestro país: Caso clínico

• CAROLINA WHITTLE ^[1] ; JUAN HEPP ^[2] ; RODOLFO ARMAS ^[3] ; MARCELA SCHULTZ ^[4]
  1. [1] Clínica Alemana de Santiago Departamento de imágenes Servicio de Ecotomografía
  2. [2] Clínica Alemana de Santiago Departamento de Cirugía
  3. [3] Clínica Alemana de Santiago Departamento de Medicina Interna
  4. [4] Clínica Alemana de Santiago Servicio de Anatomía Patológica

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 5, 2010, págs. 581-585
• Idioma: español
• Títulos paralelos:
  • Porphyria cutanea tarda, hemosiderosis and hepatocellular carcinoma: Report of one case
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• Resumen

  • Porphyria cutanea tarda (PCT) is a hereditary or acquired disease. It can be unleashed by iron overload, alcohol, estrogens and other conditions. In these patients, hepatic involvement can be associated to cirrhosis, iron overload or C and B viral infections, that are predisposing factors for hepatocellular carcinoma. We report a 69-year-old man with PTC, hemosiderosis and hepatocarcinoma. The tumor was diagnosed during a routine ultrasound examination for early detection of malignant lesions. The patient was subjected to a right hepatic excision. The pathological examination of the surgical piece confrmed the diagnosis and disclosed free surgical margins. After 18 months of follow up, the patient had a relapse and a liver transplantation was performed.