Hemorrhagic extrahepatic recurrence of hepatocellular carcinoma: A case report
| Autor: | Gilbert Peh Voon Yeow, Thanesh Maiyauen, Padmaan Sankaran, David Gan Eng Yeow, Mohd Sharifudin Sharif |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Hepatocellular carcinoma medicine.medical_treatment Computed tomography Case Report medicine.disease Extrahepatic Resection medicine.anatomical_structure Lower abdominal pain Recurrence Laparotomy Omental recurrence medicine General Materials Science Radiology business Pelvis |
| Zdroj: | Annals of Hepato-Biliary-Pancreatic Surgery |
| ISSN: | 2508-5859 2508-5778 |
| Popis: | The recurrence of hepatocellular carcinoma (HCC) can mainly be divided into two phases or types: the intrahepatic recurrence (IHR) and the extrahepatic recurrence (EHR). Generally speaking, the EHR is usually referenced as being the less common of the two types or categories. In a post-hemihepatectomy patient with routine surveillance at 6 months, it was noted that the patient appeared to have an elevated alpha-fetoprotein, and also complained of vague lower abdominal pain. The accompanying computed tomography scan revealed a 6 cm-sized heterogeneous mass located at the pelvis region. Next, during a laparotomy for resection, the tumor was found to be bleeding from the omental deposition. In conclusion, a high index of suspicion and early surgical intervention can help in detecting possible bleeding extrahepatic recurrence in the background of a patient with history of HCC. |
| Databáze: | OpenAIRE |
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