Heparlobatum Carcinomatosum is a Rare Entity not to be ignored

Abstract

Hepar lobatum carcinomatosum corresponds to a major hepatic dysmorphia on non-cirrhotic liver acquired during the evolution of a carcinoma, most often of mammary origin, metastasized to the liver. It is often associated with portal hypertension. It is the consequence of invasion of portal veins by tumor cells and of a desmoplastic reaction in contact with the tumor. This is a complication with a poor prognosis but which seems to be amenable to early detection and appropriate management. We report the case of two patients followed for multi-metastatic invasive breast carcinoma under palliative chemotherapy and hormonal therapy and whose evolution was marked by the radiological characterization of a pseudo cirrhosis aspect during the radiological evaluation of their response to treatment.