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Hepatocellular carcinoma associated with recreational anabolic steroid use
  1. Peter Gorayski (peter.gorayski{at}
  1. Flinders Medical Centre, Australia
    1. Tony Thomas
    1. Flinders Medical Centre, Australia
      1. Campbell H Thompson
      1. Flinders Medical Centre, Australia
        1. H S Subhash
        1. Flinders Medical Centre, Australia


          We report the case of a 35-year-old male bodybuilder who was found to have a hepatocellular carcinoma arising in a pre-existing hepatic adenoma following recreational anabolic steroid use. Given the widespread use of recreational anabolic steroids we highlight another potentially life-threatening complication in addition to the more commonly recognised hepatic adenoma. To our knowledge, malignant transformation to HCC from a pre-existing hepatic adenoma confirmed by immuno-histochemical study has previously not been reported. We conclude by recommending further study to implement screening programs to identify high risk individuals.

          • anabolic androgenic steroids
          • body builders
          • hepatic adenoma
          • hepatocellular carcinoma

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          • Miscellaneous
            BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
          • Case Report
            P Gorayski C H Thompson H S Subhash A C Thomas