Concluded Case

Large liver SOL

A 45 years old male, chronic alcoholic since 15 years, no comorbidities, ECOG = 1 Chief Complaints Pain abdomen in RHC since 2 months and abdominal distension since 1 month Investigations HBsAg +, HBV DNA = 67000 AFP = 2000 Bilirubin= 0.8/0.6, OT/PT = 45/35, Alb = 3.2, INR = 1.1 CTP = 7 CT showing 15 x 19 cm mass in left lobe with arterial enhancement and vessels within and washout on delayed phase, causing compression of stomach with maintained fat plane. Thrombosis of left portal vein present with mild ascites. Management What should be the management for this patient?

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Concluded answer

I/v/o HKLC stage IIIb, patient was started on Tab. Lenvatinib and was planned for TACE. Patient to be observed after TACE and if improving then can be planned for resection of left lobe.

All Answers

I/v/o HKLC stage IIIb, patient was started on Tab. Lenvatinib and was planned for TACE. Patient to be observed after TACE and if improving then can be planned for resection of left lobe.

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Large SIZE HCC Take opinion of liver surgeon If no Mets possible surgery Plus minus transplant