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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.
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