Physical Exam | 01/17/XX |
70 year old woman with abdominal pain and history of hepatitis C has recently diagnosed R lobe liver lesion. Outside biopsy negative. On exam, there is moderate RUQ tenderness to palpation. |
X-Rays & Scans | 12/27/XX |
Abdominal ultrasound: 4.3cm mass R hepatic dome of liver, consider hemangioma vs. metastatic disease. No adenopathy seen. No invasion of hepatic vasculature. Thickening on cecum, exam otherwise normal. |
12/27/XX | Chest X-Ray negative. | |
Scopes | 01/20/XX | Diagnostic laparoscopy: Mass seen dome of liver, 4cm, no peritoneal disease or ascites. |
Laboratory | 01/17/XX | AFP WNL. |
Pathological Reports | 12/30/XX |
Liver biopsy: negative for malignancy. |
01/20/XX | FNA liver: hepatocellular carcinoma. | |
Treatment | 01/25/XX | Radiofrequency ablation R lobe liver tumor. |