A 32-year-old woman with subcostal pain and a left hepatic mass

Article Abstract:

A 32-year-old woman with a mass in her liver, occasional fever, weight loss, and pain beneath her ribs was found to have a liver cancer known as fibrolamellar hepatocellular carcinoma. Imaging tests showed that the woman had a mass in her left liver with numberous blood vessels and a region of dead cells or scarring. Upon surgery, the tumor was removed and tissue analysis indicated the diagnosis. The tumor was 12 centimeters (cm) by 10 cm by 6 cm and did not invade the surrounding liver tissue or adjacent stomach. Six months after the surgery the patient was well, her symptoms had resolved, and she had no evidence that the cancer had returned. Although hepatocellular carcinoma often results in death within a few months, prognosis is better for the fibrolamellar type, which is more common among young people.

Diagnosis, Liver cancer

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A 35-year-old woman with recurrent bleeding from a gastric ulcer after treatment for Helicobacter pylori infection

Article Abstract:

A 35-year-old woman was admitted to a hospital because she was passing bloody stool. She had first been diagnosed with a bleeding stomach ulcer 21 months earlier. She had received various drugs to eliminate Helicobacter (H.) pylori infection, which doctors thought was causing the recurring ulcer. Fiberoptic endoscopy revealed fresh blood in her stomach and a large ulcer. Biopsy samples of stomach tissue did not contain H. pylori, but showed evidence of a B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) origin. This type of lymphoma is relatively benign. She was treated with radiation to the stomach, and endoscopy and biopsy three months later revealed a healed ulcer and so sign of the lymphoma.

Lymphomas, Peptic ulcer

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A 25-year-old woman with fever and abnormal liver function

Article Abstract:

A Filipino woman traveling in the US was hospitalized with chronic fever. She was found to have typhoid fever and was treated with fluoroquinolone.

Typhoid fever

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