CASE 138: LIVER MASS of HCC, Dr PHAN THANH HẢI. MEDIC MEDICAL CENTER, HCMC VIETNAM

Man 55yo, epigastric pain, no fever. Abdominal ultrasound discloses a mass on left lobe of liver, size of 3 cm, hypoechoic, well-bordered, with the inhomogeneous central part. The mass represents avascular pattern on color Doppler.

Blood test : no raising of wbc counts, no infected  HBV or HCV virus, AFP in normal value.

On MRI with CE gado, this mass is enhanced and its central necrosis like CC (cholangiocarcinoma).

Laparotomy for exploration performs today. It is a left lobe of  liver tumor in invasion to left gastric curvature. Surgeon removes tumor and carries out a partial gastrectomy.

And now see the macro of specimen.

Microscopic report is HCC, undifferentiated cell.

 

 

DISCUSSION: Liver tumor is on left lobe of liver. Ultrasound findings are hypoechoic, hypovascular, invasion to gastric body, with blood tests of AFP, CEA, CA 19-9 are in normal values, and no infected HBV or HCV.
It is an atypical HCC.