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Wednesday 30 August 2017

CASE 449: LIVER TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM





Man 77yo, in  general check up  by ultrasound  detected  one round mass 5 cm in  segment 6 of liver with Left  kidney cyst and big prostate  (US 1, US 2, US 3, US 4).






MSCT of liver with CE=   showed this liver tumor  well bordered, quick CE   and  delay wash out CE that looked like HCC by radiologist  (CT1, CT 2, CT 3, CT 4).





Blood tests = HCV , HBV non detected. Wako test =  3 negative.




In MSCTA, vascular supply of the tumor comes from left gastric artery.




Operation laparotomy  removed this tumor  that macroscopic feature likes liver normal tissue of liver.


Microscopic report  is hepatic adenoma.



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