Thursday, 27 July 2023

CASE 692: Five Year HCC post-op, Dr PHAN THANH HẢI, Dr DƯƠNG NGỌC THÀNH, MEDIC MEDICAL CENTER, HCMC , VIETNAM.

 A 71 year-old female patient with her history of a liver tumor which was quite difficult diagnosed 5 years before.

She had been go through ultrasound, MSCT  and liver biopsy 2 times in 2 other hospitals, but the results were benign hepatic tumor and no clue of infected HCV and HBV.

In Medic Center, ultrasound noted a 50 milimeter right liver hemangioma and MRI  with gado was an AML but not ruling out HCC.




But HCC risk tests with WAKO test were positive and positive antiHBe in that time.





After 2 months of the five year before to examine the liver tumor, the HCC  diagnosis was made and the tumor was removed surgically when the patient aged 66.





Histopathological report was a poor differentiazed carcinoma of liver with fatty degeneration  and hepatic chronic inflammation.

And 5 years went by the female patient remains well. The right lobe of liver exists a fibrosis scar.








The prognosis of HCC patient will be well if an effective management performs successfully in time for the female patient [Acceptable 5-year survival].

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