CASE 529: CC HCC, Dr PHAN THANH HAI, Dr DUONG NGOC THANH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN 66 YO,   ULTRASOUND CHECK -UP DETECTED ONE MASS  5 CM AT R LIVER   HYPERECHOIC WELL- BORDERED  LOOKS LIKE  HEMANGIOMA (US 1, US 2, CENTRAL TUMOR NECROSIS).

BLOOD TESTS=  HBV AND HCV NON REACTIVE   WAKO TEST  STRONG POSITIVE.

MRI OF LIVER WITH GADOVIST , THIS TUMOR IS ENHANCED WITH GADO AND  STRUCTURE IS MORE FATTY TISSUE .  RADIOLOGIST REPORT IS AML LIVER ( MRI 1, MRI 2, MRI 3).

 CORE BIOPSY REPORT IS MORE FATTY TISSUE  WITH THE  SAME NUMBERS OF ABNORMAL CELL.

OPEN SURGERY RESECTION OF TUMOR  ( SEE MACRO  TUMOR WHICH IS  VERY DIFFERENT WITH LIVER TISSUE , WHITE  HARD   CENTRAL NECROSIS  WELL-BORDERD. MACRO 1, MACRO 2).

MICROSCOPIC REPORT IS  CLEAR CELL HCC   MORE 50%  CLEAR CELLS IN TUMOR.