Woman 35 yo, pain at epigastric area. Ultrasound in a provencial hospital suspected liver tumor, and reviewing of ultrasound at MEDIC center.
This mass was hypoechoic structure with size of 7cm X 5cm along of upper portion of IVC in covering over right kidney and duodenum (see 4 ultrasound pictures).
MSCT with CE of this mass was slow enhancement, and in invasion of the wall of IVC ( see 3 CT pictures).
Gastroendoscopy was ruling out a tumor from duodenum.
Blood test : CA19-9 rising of 62.58 UI/mL
What is your suggestion of diagnosis and planning for treatment ?.
REFERENCE: