Nodular hepatocellular carcinoma
https://doi.org/10.16931//1995-5464.2023-4-88-92
Abstract
The paper describes a clinical observation of asymptomatic course and late diagnosis of hepatocellular carcinoma with solitary giant tumor atypically located “on a pedicle” in a liver segment. The patient independently detected a neoplasm in the abdominal cavity. The paper presents stages of outpatient laboratory and instrumental diagnostics. Pattern of 13 cm tumor growth in one segment of the liver was considered uncommon but appropriate for the surgery – atypical liver resection. Such location of the tumor raised doubts about the organ reference prior to surgery. The patient underwent successful surgical treatment, specific treatment and follow-up in a certain medical institution.
About the Authors
L. S. Antipina
Siberian State Medical University
Russian Federation
Russian Federation
Ludmila S. Antipina – Assistant, Hospital Surgery Department with a Course of Cardiovascular Surgery
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
G. Ts. Dambaev
Siberian State Medical University
Russian Federation
Russian Federation
Georgiy Ts. Dambaev – Doct. of Sci. (Med.), Professor, Honored Scientist of the Russian Federation, Head of the Hospital Surgery Department with a Course of Cardiovascular Surgery
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
D. V. Vasilchenko
Siberian State Medical University
Russian Federation
Russian Federation
Dmitry V. Vasilchenko – Cand. of Sci. (Med.), Assistant, Pathological Anatomy Department
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
M. M. Solovev
Siberian State Medical University
Russian Federation
Russian Federation
Michael M. Solovev – Doct. of Sci. (Med.), Professor, Hospital Surgery Department with a Course of Cardiovascular Surgery
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
A. P. Pisarev
Siberian State Medical University
Réunion
Réunion
Archip P. Pisarev – Resident Physician, Department of Anesthesiology, Resuscitation and Intensive Care
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
References
1. Shkaraburov A.S., Rudenko D.N., Vaiman E.F., Soboleva O.M., Zakharova Yu.V. Asymptomatic hepatocellular carcinoma (clinical case). Creative surgery and oncology. 2022; 13 (3): 256–260. https://doi.org/10.24060/2076-3093-2022-12-3-256-260 (In Russian)
2. Harris P.S., Hansen R.M., Gray M.E., Massound O.I., McGuire B.M., Shoreibah M.G. Hepatocellular surveillance: an evidencebased approach. World J. Gastroenterol. 2019; 25 (13): 1550. https://doi.org/10.3748/wjg.v25.i13.1550.
3. Singal A.G., Lok A.S., Feng Z., Kanwal F., Parikh N.D. Conceptual model for the hepatocellular carcinoma screening continuum: current status and research agenda. Clin. Gastroenterol. Hepatol. 2022; 20 (1): 9–18. https://doi.org/10.1016/j.cgh.2020.09.036.
4. Mikhailova D.A., Nushtaeva S.A., Styazhkina S.N. Hepatocellular carcinoma. Clinical case. Modern Science. 2020; 4: 228–230. (In Russian)
5. Sleptsova S.S., Malov S.I., Savilov E.D., Semenov S.I., Semenova V.K., Stepanenko L.A., Ogarkov O.B., Malov I.V. Clinical and epidemiological characteristics of hepatocellular carcinoma in the Republic of Saha (Yakutia). Epidemiology and Vaccinal Prevention. 2020; 19 (3): 33–40. https://doi: 10.31631/2073-3046-2020-19-3-33-40 (In Russian)
6. Roskilly A., Rowe I.A. Surveillance for hepatocellular cancer. Clin. Med. (Lond.). 2018; 18 (Suppl. 2): s66–69. https://doi.org/10.7861/clinmedicine.18-2-s66.
7. Merabishvili V.M., Merabishvili E.N., Chepik O.F. Epidemiology of liver cancer. Morbidity, mortality, dynamics of the histological structure. Siberian journal of oncology. 2015; 3: 5–14. (In Russian)
8. Rak pecheni (gepatocellyulyarnyj) [Liver cancer (hepatocellular). Clinical recommendations]. Clinical guidelines. Moscow, 2020. 57 p. (In Russian)
9.
Review
For citations:
Antipina L.S., Dambaev G.Ts., Vasilchenko D.V., Solovev M.M., Pisarev A.P. Nodular hepatocellular carcinoma. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2023;28(4):88-92. (In Russ.) https://doi.org/10.16931//1995-5464.2023-4-88-92
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