A case of explosive progression of hepatocellular carcinoma in a patient with common variable immunodeficiency (CVID)

Kaushang Gandhi, Purvi Parikh, Wilbert S. Aronow, Harit Desai, Harshad Amin, Mala Sharma, Arye Rubinstein

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: While it is well known that patients with common variable immunodeficiency (CVID) are predisposed to various malignancies, primarily non-Hodgkin's lymphoma and gastric carcinomas, to our knowledge no cases of hepatocellular carcinoma have been reported in the absence of preexisting liver disease. Method and Results: We report a 50-year-old male patient with CVID with a B- and T-cell deficiency. The patient was on prophylactic intravenous gammaglobulin and had received several years earlier a course of rituximab for an autoimmune disorder. He had no history of hepatitis. The patient developed a rapidly progressing hepatocellular carcinoma within 3 to 4 weeks. Conclusions: Although patients with CVID are predisposed to malignancies such as lymphoma and adenocarcinoma of the stomach, rapidly progressive hepatocellular carcinoma in the absence of any preexisting liver disease has not been described.

Original languageEnglish (US)
Pages (from-to)281-284
Number of pages4
JournalJournal of Gastrointestinal Cancer
Volume41
Issue number4
DOIs
StatePublished - Dec 1 2010

Keywords

  • common variable immunodeficiency
  • hepatocellular carcinoma

ASJC Scopus subject areas

  • Oncology
  • Gastroenterology

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