case 390=pedunculated hcc, dr phan thanh hẢi
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CASE 390: PEDUNCULATED HCC, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM
MAN 56 YO REPORTED HIS RUQ SWOLLEN SLOWLY FOR 6 MONTHS , NO DISTURB GI TRACK IN DIGESTION.ULTRASOUND ABDOMEN:US 1:ECHOGENEICITY OF LIVER AND TUMOR NEARBY ARE DIFFERENT.
US 2:LONGITUDINAL SCAN,TUMOR AND LIVER BORDER ARE NOT CLEAR.
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US 3: STRUCTURE OF THIS TUMOR IS SOLID, HYPOVASCULAR.
US 4: CROSS SECTION, TUMOR IS INTRA ABDOMEN, AT RIGHT SITE OF AORTA.
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MSCT WITH CE:
CT 1( 4 PICTURES): SAGITTAL VIEW, FRONTAL VIEW , CROSS-SECTION SHOWED VASCULAR SUPPLY OF THIS TUMOR IS FROM LIVER.
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CT1:TUMOR IS RELATED WITH R/LIVER, PEDUNCULATED, VASCULAR SUPPLY FROM LIVER.
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CT2:MULTINODULAR, CONTRAST ENHANCE IS IN BORDER OF TUMOR.
LAB BLOOD TESTS = HBV POSITIVE, AFP=651.8 ng/mL.
Operation laparotomy detected huge tumor connected with right liver border bysmall area.
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Microscopic report is undiffentiated HCC
( P-HCC; PEDUNCULATED HCC or HANGING HCC..)
SUMMARY= PRE OP IS SUSPECTED HCC, BUT IT HAD PEDUNCLE COME FROM RIGHT LIVER. LAPAROTOMY REMOVED BIG TUMOR FROM THE RIGHT LIVER.
REFERENCE:PEDUNCULATED HCC