Monday, 8 October 2018

CASE 517: HCC WITH LOW AFP, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


MAN 52 YO with HBV INFECTED and   EPIGATRIC PAIN.   
ULTRASOUND CHECK UP DETECTED  LEFT LIVER TUMOR, SIZE 3.5 CM   HYPOECHOIC (US1,US2  )   BLOOD TETS: HBsAg POSITIVE, AFP 15ng/mL.



CT SCAN LIVER =  CT 1  NON CE , CT2, CT3   TRIPHASES CE , CT4 FRONTAL VIEW , CT5  SAGITTAL VIEW.

RADIOLOGIST REPORT IS  HCC.







MRI PRIMOVIST = MRI 1 DWI ,  MRI 2  T1, MRI 3 GADO INPUT,   MRI 4 GADO OUT,   MRI 5  FRONTAL VIEW.






BLOOD TEST AGAIN=  WAKO TEST  AFP-L3  RISING 16.4 %.


SUMMARY=  MAN 52 YO HBV INFECTED
WITH AFP NEGATIVE   BUT ULTRASOUND DETECTED TUMOR AND CT CE , MRI GADO   STUDYING THIS TUMOR.   WAKO TEST IS  POSITIVE  WITH L3 RISING. HOW ACCURATE DIAGNOSTIC OF   ALL FACILITIES?
OPERATION IN THE PLAN of LEFT HEPATECTOMY.

Robotic operation for  left hepatectomy.   See  macro  tumor with white area.

Microscopic with histo immunostaining  is  undiffentiated HCC.



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