Tag: Blood Transfusion

Right Hepatectomy for Non-Cirrhotic Hepatocellular Carcinoma

non reflux disease stretta procedure

Aster Integrated Liver Care

The first major liver resection (right hepatectomy) was performed by the ILC Team at Aster Hospital, Mankhool on a 28-year-old female who was incidentally detected to have an 11 cm hepatocellular carcinoma (HCC) in the right lobe of the liver. A solid lesion in a cirrhotic liver is generally an HCC. In non-cirrhotic livers, solid lesions may be due to hemangioma, hepatic adenomas, focal nodular hyperplasia, cholangiocarcinoma, HCC, metastases and rarely tuberculoma or lymphoma. The diagnosis is essentially based on cross-sectional imaging with CT and MRI. The index patient had a contrast enhancement pattern characteristic of HCC on a dynamic triple phase CT scan. While HCC usually develops in a background of liver cirrhosis, about one-third cases occur in a non-cirrhotic liver. The patient’s alpha-fetoprotein (AFP) levels were normal. AFP levels are elevated in only two-thirds of HCC and AFP is not mandatory for a diagnosis of HCC. Biopsy is usually not required for diagnosis if the radiological findings are characteristic. Continue reading “Right Hepatectomy for Non-Cirrhotic Hepatocellular Carcinoma”

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