MAN 56 YO REPORTED HIS RUQ SWOLLEN SLOWLY FOR 6 MONTHS , NO DISTURB GI TRACT
IN DIGESTION.
ULTRASOUND ABDOMEN:
US 1:LIVER AND TUMOR NEARBY ECHOGENEICITY IS DIFFERENT.
US 2:LONGITUDINAL SCAN,TUMOR AND LIVER BORDER ARE NOT CLEAR.
US 3: STRUCTURE OF THIS TUMOR IS SOLID, HYPOVASCULAR.
US 4: CROSS SECTION, TUMOR IS INTRA ABDOMEN, AT RIGHT SITE OF AORTA.
MSCT WITH CE:
CT 1( 4 PICTURES): SAGITTAL VIEW, FRONTAL VIEW ,CROSS.. VASCULAR SUPPLY
OF THIS TUMOR IS FROM LIVER.
CT1:TUMOR IS RELATED WITH R/LIVER, PEDUNCULATED, VASCULAR SUPPLY FROM LIVER.
CT2:TUMOR IS MULTINODULAR, CE IS IN BORDER OF TUMOR.
LAB BLOOD TESTS = HBV POSITIVE, AFP=651.8 ng/mL.
SUMMARY= PRE OP IS SUSPECTED HCC, BUT IT HAD PEDUNCLE COME FROM RIGHT LIVER. LAPAROTOMY REMOVED BIG TUMOR FROM THE RIGHT LIVER.