CASE 334: MULTIPLE HEPATIC TUMORS: Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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WOMAN 43YO, CHRONIC INFECTED HBV, PAIN AT  LIVER.

ULTRASOUND   DETECTED  INTRA HEPATIC   MULTIPLE FOCAL LESIONS WITH SUGGESTION OF  LIVER HEMANGIOMA (US1, US 2).

REPORT OF MSCT WITH CE   WAS    MADE  DIAGNOSIS OF   MULTIPLE  FOCAL HCC (  CT 1, CT 2).

MRI WITH  PRIMOVIST ALSO   WAS   DIFFUSE   HCC.

BLOOD TEST OF   WAKO  WERE  NEGATIVE,  CEA AND CA 19-9   WERE  IN  NORMAL  LEVEL.

FIBROTEST  WAS  SCORED  F2.

DISCUSSION: History were chronic infected HBV and Wako triple test negative. Do you trust in reports of ultrasound, CT with CE, and MRI Primovist ?

Biopsy  report  is  adenocarcinoma  metastasis from GI tract.

It is a case of CUP (cancer unknown  primary).