HEPATOCELLULAR-CARCINOMA IN A NONCIRRHOTIC COAL-MINER WITH SECONDARY HEMOCHROMATOSIS

We report a case of hepatocarcinoma in a non-cirrhotic patient with se condary haemochromatosis. A 61-year-old man, who had been a coal miner for 36 years, presented with a well differentiated hepatocarcinoma wi thout cirrhosis. The patient had a haemochromatosis with no family his tory of liver disease and a normal genetic study. Right hepatectomy wa s performed and 15 months later there has been no recurrence. This cas e confirms the possibility of hepatocarcinoma occurring in haemochroma tosis patients without cirrhosis. The recognition of populations at ri sk of haemochromatosis is a necessity, and this should include coal mi ners.