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- Title
Hepatoid Adenocarcinoma Presenting as Pancreatitis.
- Authors
Chaudhari, Rahul; Murphy, Katherine; Schwartz, Stephen; Chaudhari, Jigisha; Ho, Immanuel; Nunes, Frederick
- Abstract
Hepatoid adenocarcinoma (HAC) is an uncommon and aggressive type of adenocarcinoma, typically affecting the middle-aged and elderly. The morphological features of the HAC resemble hepatocellular carcinoma. Presenting symptoms may include upper abdominal pain, hematemesis, back pain, and palpable abdominal mass.HAChas no proven therapy, and the prognosis is extremely poor. Early surgical removal with chemotherapy remains the standard of care. We describe one of the youngest patients in the literature with HAC who presented with acute pancreatitis. The diagnostic workup was confused by diffuse lymphadenopathy and elevated b-human chorionic gonadotropin making lymphoma and germcell tumor likely possibilities until immunohistochemistry confirmed the diagnosis.
- Subjects
ADENOCARCINOMA; CHORIONIC gonadotropins; HEPATOCELLULAR carcinoma; IMMUNOHISTOCHEMISTRY; LYMPHATIC diseases; LYMPHOMAS; PANCREATITIS; STOMACH tumors; GERMINOMA
- Publication
ACG Case Reports Journal, 2020, Vol 7, Issue 5, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000000381