[ XXXX and liver transplantation: case report and literature review].

@entity1 @entity548 @entity5 @entity490 @entity99
BACKGROUND: @entity99 is a rare @entity5 that accounts for 2% of all hepatic primary @entity5 . The diagnosis is difficult, especially if the @entity1 does not have history of exposure to carcinogens, which are considered as risk factors. The diagnosis is made by histopathology, but in a considerable percentage it can only be accomplished by autopsy. The performing of fine needle aspiration biopsy can lead to @entity548 , with limitations in its use. CLINICAL CASE: A 41 year-old male, with no history of exposure to carcinogens, who developed @entity490 secondary to a haemoperitoneum due to @entity5 rupture, was diagnosed by imaging methods with a giant cavernous @entity99 . He was initially treated with embolisation, and later with a liver transplant. After six months he developed haemoptysis secondary to lung metastasis. The autopsy reported metastatic @entity99 . DISCUSSION: This condition has been related to carcinogen exposure, with malignant transformation from a benign vascular @entity5 being proposed as a hypothesis. The differential diagnosis can be achieved with imaging studies such as CT scan, and the definitive diagnosis is made by histopathology with immunohistochemistry tests, with 35%-100% being made in the autopsy. CONCLUSION: @entity99 is a @entity5 , the potential curative option is surgery with @entity5 free margins. Liver transplantation remains controversial because of its poor prognosis in the short term.
