Hepatocellular carcinoma after danazol therapy.

In: The Journal of rheumatology · 1988 · vol. 15(9) , pp. 1447–9 · PMID:2848945 · W2419322663
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This report describes a hepatocellular carcinoma discovered in a patient with SLE after four years of danazol therapy, suggesting ultrasound screening for early detection.

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Abstract

Danazol, an inhibitor of pituitary gonadotropin, has been proposed in the treatment of systemic lupus erythematosus (SLE). We report the case of a female patient with SLE in whom a hepatocellular carcinoma was discovered after 4 years of treatment with danazol. Except for 3 days of hypochondrium pain, there were neither clinical signs of liver tumor nor biological abnormalities. An ultrasonography showed 2 tumors of the liver. At histological examination after surgery, one of the tumors was found to be a benign adenoma, while the other was a well differentiated hepatocellular carcinoma. When longterm danazol therapy is required, ultrasonography may be useful for early tumor detection.

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