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Vanishing Liver Tumours.

Peddu, P. 2008Liver cancer

Peddu, P., Huang, D., Kane, P. A., Karani, J. B., & Knisely, A. S. (2008). Vanishing liver tumours. Clinical radiology, 63(3), 329–339. https://doi.org/10.1016/j.crad.2007.08.009

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Abstract

Spontaneous resolution of liver tumours is a rare, but recognized entity that has been reported to occur within the spectrum of benign and malignant liver tumours occurring in both adult and paediatric population. The aetiology of this unusual phenomenon is not clearly understood. In this article we present case examples of various benign and malignant liver tumours that have regressed spontaneously without treatment together with a review of the literature, and a summary of the current understanding of the pathogenesis of these tumours.

Case Details

Disease Location

Liver

Personal Characteristics

57-year-old man

Clinical Characteristics

Presented with anorexia, weight loss, and abdominal distension. He was mildly jaundiced and had ascites, without encephalopathy. AFP was elevated. Us and CT demonstrated a 34 mm arterialized nodule was identified subcapsularly in segment 4.

Remission Characteristics

7 weeks later, a CT demonstrated a larger central area of necrosis within the hcc. Two months later, at a clinic visit, an alpha-fetoprotein value was markedly reduced at 87 ng/dl. A CT examination showed no evidence of hcc

Treatment & Mechanisms

Proposed Remission Mechanisms

Auto- infarction

Clinical Treatment

Symptomatic

Non-Clinical Treatment

Symptomatic