RIGHT LOBE INFILTRATIVE HEPATOCELLULAR

2025-03-18 15:47:23
FINAL DIAGNOSIS: RIGHT LOBE INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH DECOMPENSATED CHRONIC LIVER DISEASE, FOR SUPPORTIVE CARE. PORTAL HYPERTENSION WITH PORTAL VEIN THROMBOSIS. ESOPHAGEAL VARICES-EVL DONE (OUTSIDE) HISTORY: Mr. HS Shivakumar, aged 55 years, was evaluated elsewhere for complaints of pain abdomen and yellowish discoloration of eye and urine. On investigations found deranged LFT (total bilirubin-5.6, direct bilirubin-4.85). CECT abdomen and pelvis on 22.02.2025, showed Hepatomegaly with surface nodularity and caudate lobe hypertrophy- suggestive of chronic liver parenchymal disease. Few ill-defined peripherally enhancing lesions in the segments 6 and 7-probably HCC. Suggested serum AFP levels and HPE correlation. Portal vein thrombosis with heterogeneous enhancement of the segment 7. Periportal and perigastric collaterals. Minimal ascites with mild mesenteric fat stranding. Borderline splenomegaly. Cholelithiasis with mild wall thickening. Thank you.
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Contact us or liver transplant surgeon Size and number is not mentioned exactly Liver transplant can cure both CLD and hcc( subject to criteria) In view of cancer if your register for deceased liver u may get early priority also
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Contact us or liver transplant surgeon

Answered2025-03-27 09:15:55

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Supportive care only.
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See a palliative physician and a gastroenterologist.

Answered2025-03-19 13:32:55

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