J Gastroenterol Hepatol Endosc | Volume 6, Issue 1 | Case Report | Open Access

De novo Juvenile Hepatocellular Adenocarcinoma

Raheela Khalid*, Hafeezullah Shaikh, Nadeem Syed Hassan, Muhammad Iqbal# and Sabhita Shabir Shaikh

Department of Gastroenterology, National Institute of Liver and GI Diseases Dow University Hospital, Karachi, Pakistan

*Correspondance to: [email protected] 

Fulltext PDF


Hepatocellular adenocarcinoma is primary liver cancer which commonly arises in cirrhotic liver but it can arise de novo. This is a case of 14 years old boy who had no underlying liver disease, presented first time with right hypochondriac pain and documented fever for 1 month. On examination he had tender hepatomegaly with liver span of 16 cm. His initial ultrasound abdomen given impression of large cavernous hemangioma so triphasic CT scan abdomen was performed which revealed 10 cm hepatoma in right lobe of liver with few other small lesions. Serum alpha fetoprotein was 313.46 ng/ml. He was then referred to surgical team and his tumor was completely resected and excisional biopsy confirmed the diagnosis of HCC.


Hepatocellular adenocarcinoma; Juvenile; De novo


Khalid R, Shaikh H, Hassan NS, Iqbal M, Shaikh SS. De novo Juvenile Hepatocellular Adenocarcinoma. J Gastroenterol Hepatol Endosc. 2021; 6(1): 1091..

Subscribe to Our Newsletter