Year 2015 / Volume 107 / Number 5
Letter to the Editor
Primary hepatic neuroendocrine tumor in a patient with acute HBV hepatitis: An unusual neoplasia

327-328

Germán Mínguez-Ruiz, Carmen García-Bernardo, Jimi Harold Jara-Quezada, Raquel Rodríguez-Uria, M.ª Luisa González-Diéguez and Lino Vázquez-Velasco

Abstract
Dear Editor,
We present the case of a 67-year-old woman with no previous medical history, with a flu-like clinic of 14 days, associated with arthralgia and jaundice. Additional tests showed hyperbilirubinemia (TB: 12.03 mg/dL) and liver enzymes with a hepatocellular injury pattern (AST: 1906 IU/L, ALT: 1611 IU/L). Studies were conducted, with viral markers: HBsAg: 1351; HBeAg: 12.39; HBc IgM: 27.17 and HBV DNA-426, and abdominal ultrasonographic: Solid liver lesion (SLL) in segment IV adjacent to the portal vein of 21x17 mm. With the diagnosis of acute VHB hepatitis and SLL, diagnostic tests were extended. The abdominal CT (Fig. 1) and MRI showed the lesion described between segments III and IV suggestive of hepatocellular carcinoma.
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Germán Mínguez-Ruiz, Carmen García-Bernardo, Jimi Harold Jara-Quezada, Raquel Rodríguez-Uria, M.ª Luisa González-Diéguez and Lino Vázquez-Velasco. Primary hepatic neuroendocrine tumor in a patient with acute HBV hepatitis: An unusual neoplasia. 327-328


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