Case Discussion

Liver Mass
26/7/2011
Gen 3

Patient identification

HQ 5319

24

History
1
PI : 1



(CT abdomen)
CC :

History
HBV & HCV infection

HBV infection
3

Physical examination
BT 37.2 c, PR 80, RR 16, BP 120/90
HEENT
Pink conjunctivae, Anicteric sclera
CLN : impalpable

Heart & Lung

Normal S1 S2, no murmur
Normal breath sound

Physical examination
Abdomen
- Bulging abdomen RUQ

- Mass as figure
- Size 10 *12 cm
- Well defined boarder
- Smooth surface

- Firm consistency
- No ascitis

Physical examination
Extremity
No pitting edema

PR
No mass
No rectal shelf

No sign of chronic liver disease

Lab
CBC
HB 10, Hct 31.1, WBC 5200
PMN 76%
Plt 109,000

Lab
LFT
Chol 123, TP 6.7, alb 3, glob 3.7
TB 1.8, DB 1.0
ALT 55, AST 130, ALP 243

Lab
PT 22 PTT 35 INR 1.2
BUN 8.6 / Cr 0.8
HBV & HCV = +ve

AFP 9,667

CT Abdomen

Discussion
Provisional Dx
Large hepatoma segment 5/6

Management
Sx vs TACE
Type of Sx

CT after TACE*6

Operative findings

Pathological finding

Thank You