| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000415675 |
| ISSN: | 1665-2681 |
| Authors: | Jungst, Christoph1 Kramer, Jens2 Schneider, Gunther3 Lammert, Frank1 Zimmer, Vincent1 |
| Institutions: | 1Saarland University Medical Center, Department of Medicine II, Homburg. Alemania 2Saarland University Medical Center, Institute of Pathology, Homburg. Alemania 3Saarland University Medical Center, Institute of Diagnostic and Interventional Radiology, Homburg. Alemania |
| Year: | 2013 |
| Season: | Sep-Oct |
| Volumen: | 12 |
| Number: | 5 |
| Pages: | 834-836 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | Hepatic metastases are common in the clinical course of breast cancer and typically appear as mass lesions. This report describes the case of a 70-year-old woman with a history of breast cancer and no previously known liver disease presenting with the first episode of variceal bleeding and subacute hepatic failure. Imaging studies indicated liver cirrhosis without signs of malignant focal lesions. Comprehensive diagnostic work-up was negative for specific causes of liver disease and provided no evidence for tumor recurrence. Finally transjugular liver biopsy revealed a marked diffuse desmoplastic infiltration by breast cancer cells. Malignant pseudocirrhosis is an unusual pattern of metastatic tumor, spread representing a rare but important differential diagnosis of progressive liver failure. Liver biopsy is the key procedure to establish the diagnosis as imaging studies may mimic cirrhosis |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Oncología, Cirrosis hepática, Trasplante de hígado, Metástasis, Falla hepática |
| Keyword: | Medicine, Gastroenterology, Oncology, Liver cirrhosis, Liver transplantation, Metastasis, Liver failure |
| Full text: | Texto completo (Ver PDF) |
