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Living with Fibrolamellar hepatocellular carcinoma

A rare type of liver cancer that appears in teenagers and young adults who have no other liver disease.

Understanding Fibrolamellar hepatocellular carcinoma

Fibrolamellar hepatocellular carcinoma is a rare type of liver cancer that appears in teens and young adults with no underlying liver disease.

Symptoms are not specific and may include a belly mass, belly discomfort or pain, tiredness, and weight loss. Some people have no symptoms. A scan shows a single, well-defined mass, and a biopsy confirms the diagnosis. The usual liver cancer marker in the blood (alpha fetoprotein) is normal.

Signs & symptoms

Symptoms vary from person to person. GARD's summary lists:

  • Belly mass
  • Belly discomfort or pain
  • Tiredness (fatigue)
  • Weight loss
  • No symptoms in some people

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists and digestive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Blue Faery The Adrienne Wilson Liver Cancer Association and Fibrolamellar Cancer Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists)
Expert care
Expert lists: Blue Faery The Adrienne Wilson Liver Cancer Association, Fibrolamellar Cancer Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Blue Faery The Adrienne Wilson Liver Cancer Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests confirm the diagnosis?
Which specialists should be on my care team?
What treatment options are available?

Quick facts

Symptoms usually startTeenager and as an Adult

GARD doesn't describe a cause for this condition yet.

Gastrointestinal

Also known as: fhcc; fibrolamellar cancer; fibrolamellar carcinoma; fibrolamellar carcinoma of liver cells; fibrolamellar carcinoma of the liver cells; fibrolamellar hepatocarcinoma

Patient organizations

Source: NIH GARD · Fibrolamellar hepatocellular carcinomaGARD ID 21704 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Fibrolamellar hepatocellular carcinoma.

Explore the Fibrolamellar hepatocellular carcinoma blog

Explore research for Fibrolamellar hepatocellular carcinoma

Explore actively recruiting Fibrolamellar hepatocellular carcinoma studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Fibrolamellar hepatocellular carcinoma with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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