Carcinoma hepatocelular. Presentación de dos casos interesantes / Two interesting cases of Hepatocellular Carcinoma

Authors

  • Nélson M. López Vázquez Especialista de Primer Grado en Medicina Interna. Asistente. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río.
  • Surama González Pérez Especialista de Primer Grado en Medicina General Integral. Instructora. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río.
  • Hilda López Vázquez Especialista de Primer Grado en Medicina General Integral. Instructora. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río.

Abstract

Se presentaron dos pacientes con el diagnóstico de Carcinoma hepatocelular ingresados en el servicio de Medicina Interna del Hospital Central De Maputo, Mozambique, los cuales se comportaron evolutivamente diferente a lo observado en Cuba. Encontramos en el examen físico de estos casos hepatomegalias de grandes dimensiones, anemia, ertrosedimentación elevada, de los marcadores hepáticos la fosfatasa alcalina también elevada y la negatividad del HBS Ag. El estudio Ecográfico y tomográfico además de la Biopsia Aspirativa hepática concluyó el diagnóstico de certeza. A pesar de lo avanzado de la enfermedad, los pacientes lograban cierta tolerancia con las manifestaciones clínicas que presentaban por la neoplasia.

Palabras clave: Neoplasmas hepáticos, hepatomegalia.

ABSTRACT

Two patients suffering from hepatocellular carcinoma are presented. They were admitted at Internal Medicine Service at Maputo Central Hospital. Mozambique. They had a different evolutive behaviour in relation to what was observed in Cuba. At physical examination it was found large hepatomegalia, anaemia, high erithrosedimentation rate, hepatic markers, alkaline phosphates and non-positive HBS Ag. Diagnosis was confirmed by the echocardiography, tomography and hepatic aspiration biopsy. In spite of the progressive disease, patients presented some tolerance to clinical manifestations due to neoplasm.

Key words: Liver neoplasms, hepatomegalia.

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How to Cite

1.
López Vázquez NM, González Pérez S, López Vázquez H. Carcinoma hepatocelular. Presentación de dos casos interesantes / Two interesting cases of Hepatocellular Carcinoma. Rev Ciencias Médicas [Internet]. 2012 Oct. 16 [cited 2025 Aug. 30];12(1):165-72. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/423

Issue

Vol. 12 No. 1 (2008)

Section

CASE REPORTS

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