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Thursday 25 January 2024

CASE 747: HCC and infected HBV, Dr PHAN THANH HẢI, Dr PHẠM CÔNG CHÁNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


A woman 51 year-old infected HBV for one year only using herself functional foods.

Ultrasound revealed a # 18 mm hypoechoic mass in right lobe of liver and splenomegaly and cirrhosis.



Lab data noted platelets # 50,000, liver enzymes raised and AFP negative, but HCC risk WAKO test elevated: PIVKA II (DCP): 84.2 mAU/mL


Liver MRI with Primovist confirmed a right hepatic node that maybe was  a nodular regenerative hyperplasia (NRH, FNH) or small HCC.



Liver tumor was removed by RFA after liver biopsy and DCP downed to 72mAU/mL.







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