CASE 437: LIVER TUMOR, Dr PHAN THANH HẢI, Dr VƯƠNG THỪA ĐỨC, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Female patient 16 yo with epigatric pain.

Blood test=  HP positive.

Ultrasound  detected  left liver tumor.

US 1 =  longitudinal scanning of  left lobe of liver:   solid tumor , size  of 10 cm with central necrosis.

US 2 =  subcostal scanning :   tumor covers left liver lobe.

US 3  = color Doppler :  vascular supplying  of  this tumor.

US 4 =  elastoscanning of this tumor = 10,5-15 kPa.  

MSCT with  CE: CT 1, CT 2 =  artery and vein phases, CT 3 =  frontal view of this tumor from left liver.

Blood tests=  no infested HBV, HCV, Wako tests 3 negative.

PRE OPERATIVE  RADIOLOGIST AND SURGEON  SAY THAT  LIVER FOCAL NODULAR HYPERPLASIA (FNH).

OPERATION WAS DONE FOR RESECTION OF THE TUMOR (SEE  MACRO).

Macroscopic is  FNH.

Liver tumor FNH or HCC

Reference: Macro FNH and  flow chart of identification FNH-HCA-HCC.