fibrolamellar hepatocellular carcinoma: report of a rare case with rapid progression and unusual metastatic sites

Fibrolamellar hepatocellular carcinoma (flhcc) is a rare primary liver cancer thatoccurs in young adults, and its biology is not well known. we present a 21-year-oldwoman with metastatic liver cancer 6 months after undergoing embolization proceduresfor a typical hemangioma. the pathological investigation confirmed metastaticflhcc. despite liver mass resection and lung metastasectomy, after 3 months, thetumor recurred. in 18f-fdg pet-ct scan, lung, ovary, colon, and peritoneal invasionswere reported. unfortunately, the patient died a year after diagnosis due to arapid progression and multiple unusual metastatic sites.