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KMID : 1103920110170040313
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Korean Journal of Hepatology
2011 Volume.17 No. 4 p.313 ~ p.318
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Osler-Weber-Rendu disease presenting with hepatocellular carcinoma: radiologic and genetic findings
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Lee Joo-Ho
Lee Yung-Sang
Kim Pyo-Nyun
Lee Beom-Hee
Kim Gu-Whan
Yoo Han-Wook
Heo Nae-Yun
Lim Young-Suk
Lee Han-Chu
Chung Young-Hwa
Suh Dong-Jin
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Abstract
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This is a case report of a 68-year-old man with hepatocellular carcinoma (HCC) accompanied by hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu disease, and hepatic vascular malformation. HHT is an autosomal dominant disorder of the fibrovascular tissue that is characterized by recurrent epistaxis, mucocutaneous telangiectasias, and visceral arteriovenous malformations. HHT is caused by mutation of the genes involved in the signaling pathway of transforming growth factor-β, which plays an important role in the formation of vascular endothelia1. Hepatic involvement has been reported as occurring in 30-73% of patients with HHT. However, symptomatic liver involvement is quite rare, and the representative clinical presentations of HHT in hepatic involvement are high-output heart failure, portal hypertension, nodular regenerative hyperplasia, and symptoms of biliary ischemia. Some cases of HCC in association with HHT have been reported, but are very rare. We present herein the characteristic radiologic and genetic findings of HHT that was diagnosed during the evaluation and treatment of HCC.
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KEYWORD
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Osler-Weber-Rendu disease, Hereditary hemorrhagic telangiectasia, Hepatic arteriovenous malformation, Hepatocellular carcinoma
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