|
|||||
|
|
|||||
|
| Physical Exam | 03/05/XX |
48 year old male has a 10 cm palpable mass and pain in the R upper quadrant. |
| X-Rays & Scans | 03/06/XX |
Abdominal CT scan: 14 x 12cm heterogenous mass within inferior R lobe of liver highly suspicious for primary hepatic malignancy. No intrahepatic biliary ductal dilatation. Portal, superior mesenteric, splenic veins all normal. No lymphadenopathy seen. Chest CT negative. |
| Laboratory Studies |
03/07/XX |
AFP 3.1(0 -8.0 ng/ml). Hepatitis B and C screens negative. |
| Operative Findings | 03/15/XX |
15 x 16 cm lobulated mass extends from the inferior R lobe of liver segment 5 and 6. The mass is fairly well circumscribed and contains a large, thin-walled dilated vein. No evidence of metastasis in abdomen. |
| Pathological Reports | 03/10/XX |
Liver mass aspiration R lobe: mod diff hepatocellular carcinoma |
| 03/15/XX | Liver resection: hepatocellular carcinoma 14 x 10 x 12 cm, grade 1-2 w/focal 3 of 4. Tumor is largely encapsulated and has a pushing margin. Focal vascular invasion seen. Margins negative. | |
| Treatment | 03/15/XX |
Partial R hepatic lobectomy and cholecystectomy. |
