CASE 520: LIVER TUMOR WITH LOW AFP, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 57YO  WITH NO HISTORY OF HEPATITIS.
ULTRASOUND OF ABDOMEN FOR CHECK UP DETECTED ONE MASS AT  RIGHT LIVER , SEGMENT 6, SIZE 3 CM..HY POECHOIC, US1, US 2, US 3 .

MSCT WITH CE, RADIOLOGIST  COULD NOT  SUGGEST WHAT IS THIS

( CT 1).

BLOOD  TESTS= AFP IS  LOW  L3  IS NOT DETECTED  BUT DCP IS HIGH (WAKO TEST).

MRI  WITH PRIMOVIST AND DYNAMIC CONTRAST  GIVE DIAGNOSTIC  OF HCC.

OPERATION FOR LAPARO RESECTION TUMOR.

MICROSCOPIC REPORT IS HCC  UNDIFFERENTED CARCINOMA.

Comparison AFP to DCP in detection of  HCC.