Palpable abdominal mass

Chief complaint A 66-year-old female presents with a mass in the left upper quadrant of the abdomen. History Patient has no past history of any disease. She has 3 cesarean children, all are healthy Examination She is a morbidly obese woman. No tenderness on palpation of mass. Investigations LFT & tumor marker-wnl. CT & MRI was done which shows a large 12*15 cm, exophytic mass attaching to liver segments 4,5 & 6. No signs cirrhosis or metastases noted. Treatment What next should be done in investigation and treatment?

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Mass lesion attached to liver segment likely to cuadate lobe extending to lt hence pain or heaviness in lt hhypochondrium Adv biopsy to r/o malignancy looks to be benign tumor and can be removed surgically

Thanx dr Ashok Leel
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Needs further investigation and evaluation to conclude particularly biopsy to rule out Malignancy because generally it is benign tumour or extension of liver lobule.

Thanks Dr Shivraj Agarwal
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SINCE... 1. NO. PAST. HISTORY 2. NO. TENDERNESS 3. LFT....WNL 4. TUMOR. MARKER....WNL 5. NO. SIGNS. OF .. CIRRHOSIS. /. METASTASES.. POSSIBLY HEALED. HAEMATOMA.. ADVISABLE... BIOPSY

Appendicular lump consult the surgeon though ochner sherren is treartment of choice in that first thing is nill per oral so no many medicine and even water thro oral route . givind anything thro oral route can increase peristaltiticmovement as a result appendix can burst

CT guided biopsy of MASS To rull out Malignancy or Metastasis PET sCAN will help full Look for Lipoma or Haematoma too

Obviously such lesions require CT guided biopsy

Thanks Dr. Kute Ankush, Dr. Dinesh Gupta
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? MALIGNANCY.. NEED'S.. CT GUIDED ..HPE..STUDY..

Tnx Dr Vipin Bihari Jain sir
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Liver mass lesion Adv MRI with contrast for diagnosis of mass lesion

Healed access hematoma bù

Biopsy of the mass to be done. Review with same

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