Typical Case of HCC.

Slides:

Advertisements

Similar presentations

Mrs. EB Mesangiocapillary Glomerulonephritis. Pt Background Mrs. EB is a 62 yo female currently experiencing end stage renal failure (ESRF) 2 ⁰ to Mesangiocapillary.

Advertisements

Approach to a patient with jaundice

OSCE Raika Jamali M.D. Gastroenterologist and hepatologist Sina hospital Tehran University of Medical Sciences.

Case present By Intern 劉一璋. Patient data Name: 陳 ○ 富 Sex: 男 Age: 71 歲 Date of admission: 96/08/09 Chart No:

Chapter 15 The Liver The liver lies in the upper right quadrant of the abdominal cavity and is the largest organ in the body. The functions of the liver.

LIVER PATHOLOGY LAB MHD II January 20, Case 1 Describe the low power findings.

Case Discussion: Cell Injury At the end of the Case Discussion, the involved group is requested to submit a report of answers to all the questions asked.

PBL 22 SUPERVISED BY: DR. WALAA SHABANA

CASE 4 67 yo man HIV Hypertensive CD4 on diagnosis 110/7% AZT initiated soon after diagnosis.

Guzman, Alexander Joseph Hipolito, April Lorraine

Diagnosis of HCC History & PE Serologic Assays Radiology

Right shoulder and chest pain Kate Rubey November 2013.

Sorting out the Diagnostics Ed Marino, PA-C Porter Adventist Hospital Liver Transplant Services Denver, CO.

OSCE Raika Jamali M.D. Gastroenterologist and hepatologist Sina hospital Tehran University of Medical Sciences.

OSCE Raika Jamali M.D. Gastroenterologist and hepatologist Sina hospital Tehran University of Medical Sciences.

Expert Panel Non Gynaecological Submitted by Bastiaan DeBoer.

Gastroenterology and Hepatology Board Review II December 7, 2012.

Cirrhoses And Its Complications Ahmad Shavakhi.

INCIDENTAL FINDINGS Joel Thompson, MSIII November 19, 2008.

5 th Paris Hepatitis Congress Workshop 30/1/2012 Managing complications of DAAs: Case 1 Dr Samuel S. Lee University of Calgary.

VCU DEATH AND COMPLICATIONS CONFERENCE.  24 year old male  h/o UC diagnosed 1.5 years ago Treated with multiple agents with minimal efficacy Remicade,

Case Presentation Dr. ALI ALAMIRI Urology Dept.–AlFarwaniya Hosp. R2.

Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chapter 61 Care of Patients with Liver Problems.

Metastatic cancer of Unknown Origin in the Stomach Asan Medical Center Ahn Ji Yong.

PK 1 조 :: 조재완 DDx of jaundice. Jaundice: Introduction Jaundice - Yellowish discoloration : deposition of bilirubin – Serum hyperbilirubinemia – Liver.

Case 장 O 순 F/74 adm C.C) known hepatic mass P.I) F/74. CHB, HTN, CRF d/t GN 으로 본원 IN prof. 정경환 f/u 하고 있으 며 B-viral LC c ascites.

경희대학교병원 간암 다학제증례집담회 Multidisciplinary case conference Liver Cancer Conference 소화기 센터 회의실

경희대학교병원 간암 다학제증례집담회 Multidisciplinary case conference Liver Cancer Conference 소화기 센터 회의실

Tumor board 소화기 Case C.C.) For anemia evaluation P.I.) 고혈압으로 본원 순환기내과 F/U 중인 자로 routine lab 상 Hb 13.1g/dL('08 년 4 월 ) ==> 10.9g/dL 감소 동반한.

Echo-Conference R2 조경민. History 박 O 화 (F/31) Chief Complaint Chief Complaint Fever.chilling & Chest discomfort O/S) 10 days ago Fever.chilling.

Chief complaint Yellowish skin color change Present Illness M/50, 특이병력 없는 자로 매일 소주 2~3 병씩 마셔오다가 2011 년 6 월 21 일 부터 시작된 Yellowish skin color change, Itching.

Case II. Chief complain : RUQ pain o/s) 2 days ago Present illness : a 45 years old woman with hypertension and ASD had taken medicine at local clinic.

Department of oncology. C/C Poor oral intake, abdominal distension (onset: 2 weeks ago) P/H DM (+): detection, medication 중 HTN/Hepatitis/Tuberculosis.

Chief Complaint RUQ pain onset > 10days ago Present Illness F/49, 특이병력 없는 자로 내원 열흘 전부터 RUQ area 콕콕 쑤시는 통증 및 불편감 주소로 외부병원에서 시행한 복부초음파에서 liver mass 발견되어.

Echo-Conference R2 조경민. History 송 O 규 Chief Complaint Lt.side weakness O/S) Recent onset 3-4 days ago Present illness A 75 year old woman had.

경희대학교병원 간암 다학제증례집담회 Multidisciplinary case conference Liver Cancer Conference 소화기 센터 회의실

Intern Report Patient Presentation  55yM no PMH presenting with worsening abdominal pain for 2-3 days. Describes pain as diffuse, non-radiation,

Presented by Int. 楊為傑 Int. 吳建霆

Recurrent hepatitis with Halogenated Anesthetics

Liver Disease tutoring Part 1

PNA 23 (65) (dm, etoh, liver, smoker repeat 65 Zoster (60) HIV (adult)

Living donor liver transplantation Pre-transplant report

Missing Cirrhosis on CT Scan

Drug Induced Hepatitis

Ultrasound Cases - Pancreas

Drug Induced Hepatitis Progressing to Cirrhosis

HCC Developing in Non-Cirrhotic with History of HBV

Progressive Liver Failure following Gastric Bypass

Case studies December 2007 C.M.R.I..

Hemangioendothelioma

CIRRHOSIS LIVER Alanoud Aldrsony.

A Review of the Critical Role of Imaging in Primary Liver Malignancy

Successful TACE for HCC

Drug Induced Ductopenia

Food Supplement associated Cholestasis

Recurrent Hepatitis C Post OLT for HCC and Cirrhosis

Comorbidity NASH/HCV and HCC

Alcoholic foamy degeneration with early alcoholic cirrhosis

Successful TACE followed by OLT for HCC in Alcoholic Cirrhosis

Successful Tace in Patient with large HCC

AFP > 9000 without demonstrable HCC

History 56 y/o male from Cuba newly diagnosed with hepatitis C genotype 2b in Jan 2008 No symptoms of decompensation.

HEPATOCELLULAR CARCINOMA (HCC) at

Internal medicine L-5 Hepatic Encephalopathy

Case studies December 2007 C.M.R.I..

Presentation transcript:

Typical Case of HCC

History 54 y/o M with HCV diagnosed 30 yrs ago presented to PCP with 3 week history of constant RUQ and periumbilical pain PMH : HCV-NR to IFN/Ribavirin , DM/HTN 5 yrs PSH: Neck Surgery 1980, Hand surgery 1970 Social Hx: Quit alcohol in 1991,no smoking Medications: Norvasc,Prinivil,Glucophage, Percocet

PE Alert, oriented times three Sclera nonicteric Liver 6 cm below costal edge, tender to palpation, spleen 2 cm below costal edge, no ascites No edema, no clubbing Spider nevi No evidence of asterixis

Labs/Radiology Albumin 3.4 gr/dl T. Bil 1.5 mg/dl AP 221 U/L SGOT 194 U/L SGPT 106 U/L PLT 141 K PT/INR 1.3 AFP >520 CT Cirrhosis MRI Cirrhosis

Laparoscopy

Liver Biopsy

Liver Biopsy