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”
Viral hepatitis is one of the most important causes of liver disease throughout the world. The World Health Organization (WHO) estimates that about 320 million people worldwide have chronic hepatitis B or C infection.
Hepatitis B and C are the most important cause of liver cancer in the world. They can cause acute (short-term) and chronic (long-term) infection. Middle East, central Asia, Egypt, Pakistan, Certain area of Africa and South East Asia are areas with high prevalence of the condition. It is estimated that more than 90% of infected individuals do not have any symptoms of the disease and hence appear absolutely healthy. Continue reading “Eliminate Hepatitis”