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Saturday 9 December 2023

CASE 725: INFECTED HBV and HCC, Dr PHAN THANH HẢI, Dr HỒ TẤN ĐẠT, MEDIC MEDICAL CENTER, HCMC , VIETNAM

A 53-year-old man who had been infected with HBV since 2011 arrived at Medic Center because of rumors that he had liver cirrhosis, but he refuses any knowledge of illness. 


Ultrasound detected  a # 30 mm liver tumor in the left lobe and in caudate lobe of the liver and F4 on Fibroscan while his clinical status is almost nothing abnormal detected.


 

Lab data noted  a HCC high risk (WAKO test).

MSCT confirmed liver tumors and chronic hepatitis


 

The man died in hospital 6 months later. 

DISCUSSIONS:






 

HBV infection causes liver cancers which are highly prevalence in Vietnam.

In HCM city the seroprevalence of HBV is still high, ranging from 8 to 13 percent. On the other hand, 70% HBV patients have no symptoms which may develop the liver cancer at a later stage.

It must be identified the  infected HBV cases in the community as soon as feasible and the family members must get care and vaccination. Patients with HBV infection require monitoring every three to six months for detection liver cancer  in order to treat them quickly and save them from dying.

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