Fibrolamellar hepatocellular carcinoma: results of partial liver resection

Aim: to assess the results of partial hepatic resection in the treatment of fibrolamellar hepatocellular carcinoma. Patients and results: we present six cases of Fibrolamellar hepatocellular carcinoma treated by partial hepatic resection, There were five females and one male with a mean age of 20 (2.6) yr, Five patients were stage IVA and 1 IVB based on the Union International Against Cancer Classification, Two patients, due to recurrent disease, needed further pulmonary resection and a hilar lymphadenectomy. All six cases underwent major resection, three with vascular reconstruction, No operative mortality was recorded; half of the patients displayed some degree of morbidity, One patient died six months after the operation and the rest are alive at 78, 41, 24, 12 and 9 months. We believe that even in advanced cases, an aggressive surgical policy even with vascular reconstruction is justified in patients with fibrolamellar hepatocellular carcinoma.