MAN 35 YO, PAIN AT RIGHT SUBCOSTAL AREA, CLINICAL POSITIVE MURPHY'S SIGN.
ULTRASOUND DETECTED A FOCAL LESION NEARBY GALLBLADDER, SIZE OF 4,9 CM, HYPOECHOIC WITH CENTRAL WHITE SPOT, THEN SUSPECTED LIVER ABSCESS.
ULTRASOUND DETECTED A FOCAL LESION NEARBY GALLBLADDER, SIZE OF 4,9 CM, HYPOECHOIC WITH CENTRAL WHITE SPOT, THEN SUSPECTED LIVER ABSCESS.
MSCT OF LIVER WITH CE ALSO SUGGESTED A LIVER ABSCESS.
Blood tests showed that patient infected HBV with AFP L3 high risk.
Laparotomy was done for resection the liver tumor and gallbladder.
In macroscopy, it is an invasion to gallbladder of a very hard liver tumor.
MICROSCOPIC REPORT IS LIVER CANCER .
BUT SOME QUESTIONS: IN THIS CASE, WHY THE CENTRAL PART OF TUMOR IS VERY HYPODENSE ON CT SCAN WHILE ITS VERY HYPERECHOIC ON ULTRASOUND, AND IN COMPARISON TO THE MACROSCOPIC SPECIMEN, AND WHAT IS THE REASON ?
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