RT Journal
A1 Chavez M, Danniel J, Miick R, Jarrar D, Khanmoradi K, Ortiz J
T1 IMage of the month—quiz case
JF JAMA Surgery
JO JAMA Surgery
YR 2013
FD February 1
VO 148
IS 2
SP 203
OP 203
DO 10.1001/jamasurgery.2013.417a 10.1001/jamasurgery.2013.417b
UL http://dx.doi.org/10.1001/jamasurgery.2013.417a 10.1001/jamasurgery.2013.417b
AB 
A 68-year-old woman with hepatocellular carcinoma (HCC) underwent a liver transplant (LT). On preoperative evaluation, she had an α1-fetoprotein level of 43.7 ng/mL (normal range, <8 ng/mL [to convert to micrograms per liter, multiply by 1.0]), and a computed tomographic (CT) scan of her chest and a bone scan both had negative results. Her tumor was within the Milan criteria. Her native liver explant revealed a T2 lesion without vascular invasion or lymph nodes positive for tumor. One month later, she underwent a retransplant owing to hepatic artery disruption. The liver pathology only showed ischemia. The patient had a satisfactory recovery.