Hepatocellular adenoma among adult survivors of childhood and young adult cancer

Pediatr Blood Cancer. 2017 Apr;64(4):10.1002/pbc.26294. doi: 10.1002/pbc.26294. Epub 2016 Oct 26.

Abstract

Hepatocellular adenoma (HCA) is a rare benign epithelial neoplasm with potential for hemorrhage, rupture, or malignant transformation. Reported annual incidence of HCA is approximately 1/1,000,000. We identified 12 cases of HCA among adults with a history of childhood or young adult cancer. The most common cancer diagnosis was leukemia (N = 4). Five had undergone allogeneic hematopoietic stem cell transplant with total body irradiation. All 11 females had prior estrogen therapy; the male case was hypogonadal. This report suggests childhood and young adult cancer survivors may be at increased risk for HCA, but further investigation is needed.

Keywords: childhood cancer; hepatocellular adenoma; hepatoma; survivor.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adenoma, Liver Cell / etiology*
  • Adenoma, Liver Cell / pathology
  • Adolescent
  • Adult
  • Carcinoma, Hepatocellular / etiology*
  • Carcinoma, Hepatocellular / pathology
  • Child
  • Child, Preschool
  • Combined Modality Therapy
  • Female
  • Follow-Up Studies
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Infant
  • Liver Neoplasms / etiology*
  • Liver Neoplasms / pathology
  • Male
  • Neoplasm Staging
  • Neoplasms / complications*
  • Neoplasms / pathology
  • Neoplasms / therapy
  • Prognosis
  • Survival Rate
  • Survivors*
  • Whole-Body Irradiation / adverse effects*
  • Young Adult