Wednesday, February 29, 2012

CASE: HEPATOBLASTOMA in adolescence female- left hepatectomy^-www.drkeyurbhatt.in*

15 yrs female with vague pain in epigastric region
O/E : large 15 x 12 cm mass palpable arising from liver left lobe, hard, nontender.
NO Anorexia, No wt loss.
AFP, CEA,CA 19.9, CA 125 Were normal

CT / MR Abdomen angio:
s/o malignant liver mass from segment 3, hanging in nature with doubtful lesion in seg 4b as well.







SURGERY: Left hepatectomy with excision of seg 4b lesion, DURATION: 4.5 hrs. No blood transfusion required..and pt was shifted to ward post operatively..








was discharged on POD 5, With normal diet, and without any undue complication..

HPE : IHC S/o Hepatoblastoma, node negative, resection margins free of tumor..
pt subjected to adjuvent chemotherapy to totally eradicate the disease..

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