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Friday, 26 June 2015

CASE 320: VENA PORTA THROMBOSIS BY HCC, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

FOR PICTURES PLS CONNECT TO 3 G / DOWNLOAD THE LINK



Woman 58yo, history of  infected  HBV  and diabetes. One week ago  she was very  painful  in  liver region.
Chest x-ray showed elevated  right diaphragm ( see Xray chest film).


Ultrasound  reported that  no pleural effusion..but  liver  had  many tumors with  portal vein thrombosis  completly..( us1, us 2, us 3, us4 and video).







Blood tests = HBsAg  positive  with  AFP = 9.3 ng/mL.




Blood tests  again  with   HCC risk  on Wako machine resulted  very high  level of DCP, this test made thinking  portal vein  thrombosis  by HCC.


Discussion : History of  infected  chronic HBV,  and normal..AFP,  but  ultrasound suggested   VP THROMBOSIS due to HCC  that based on  WAKO  compiling  3 tests  AFP, AFP-L3%, DCP which confirmed  HCC.

1 comment :

Anonymous said...

Interesting demonstration for HCC risk biomarker value. Also, to this liver echo-pattern, DCP has a better sensitivity in differentiating cirrhosis from HCC compared to AFP, AFP_L3 as mentioned in previous research. http://www.ncbi.nlm.nih.gov/pubmed/17522429