We report a case of a 40-year-old man of Bantu origin, affected by both HBV infection and primitive hepatocarcinoma in the absence of cirrhosis. The fine-needle aspiration specimen reported a rare variant of liver cancer resembling an adenocarcinoma. The neoplasm was certainly a hepatic primitive carcinoma, because chest X-ray, cranial computed tomography, colonoscopy, and abdominal computed tomography did not detect neoplastic lesions and alpha-fetoprotein was > 1000 ng/mL. The present neoplasm, characterized by severe portal hypertension and absence of cirrhosis, is rare in Italy, but largely diffused in Bantu people in Africa.
An Unusual Case, in Italy, of Hepatocarcinoma Characterized by Portal Hypertension and Absence of Cirrhosis / Nocente, R; GENTILONI SILVERI, N; Vecchio, Fm; Romeo, Marina; Ceccanti, Mauro; Bertazzoni, Giuliano; Gasbarrini, G.. - In: HEPATO-GASTROENTEROLOGY. - ISSN 0172-6390. - STAMPA. - 48:(2001), pp. 1343-1345.