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- W2093834782 abstract "症例は65歳,女性.平成元年に自己免疫性肝炎(autoimmune hepatitis;AIH)と診断をうけていた.平成18年1月の腹部CTで肝S8に3cm大の腫瘤を認めたため当院初診となった.HBs-Ag(-),HCV-Ab(-),抗核抗体>2,560倍,抗ss-DNA IgG抗体>400倍,抗ds-DNA IgG抗体>400倍と自己抗体高値でありAIHと診断された.腫瘍マーカー上昇(PIVKA-II 196mAU/ml)あり,画像からも肝細胞癌(hepatocellular carcinoma;HCC)と診断し,肝部分切除術を行った.病理結果は中分化型肝細胞癌で,非腫瘍部の所見からAIHと診断された.AIHを背景としたHCCの発生機序は,肝硬変,ステロイド,ウィルス性肝炎等が想定されているが,本症例はいずれも合致しなかった.AIHにおいてもHCCの合併を念頭に置く必要があると考えられた." @default.
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- W2093834782 date "2009-01-01" @default.
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- W2093834782 title "A CASE OF NON-B NON-C HEPATOCELLULAR CARCINOMA ASSOCIATED WITH AUTOIMMUNE HEPATITIS" @default.
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- W2093834782 doi "https://doi.org/10.3919/jjsa.70.3628" @default.
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