Cancerul Hepatic

Cancer in hepatic vein

Lung cancer is one of the most common and aggressive cancers.

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The most important risk factor is smoking. Case report.

In high-risk patients, HCC screening protocols can lead to an earlier detection and at a treatable stage of the disease. Keywords Multiparametric Magnetic Resonance Imaging, diagnosis, hepatocellular carcinoma Rezumat Carcinomul hepatocelular CHC este cea mai frecventă tumoră malignă primară a ficatului, asociată  frecvent cu ciroza, cu o incidenţă crescândă la nivel mondial. Protocoalele cancer in hepatic vein screening al CHC la pacienţii cu risc crescut pot duce la detectarea mai precoce şi într-un cancer in hepatic vein tratabil al bolii. Patients with haemochromatosis are at increased risk for HCC; obesity and diabetes associated with non-alcoholic steatohepatitis are other factors that may be associated with HCC 1. Imaging, in particular Multiparametric Magnetic Resonance Imaging MP MRI represents a key element in the diagnostic algorithm and in the multidisciplinary customized management of each patient, allowing the number and size of tumoral nodules, their semiology, the involvement of intra- and extrahepatic vascular structures portal venous structures — PV, hepatic veins — HV, inferior vena cava — IVCthe presence extrahepatic spread, the existence of anatomical variants or other incidentally discovered lesions

A year-old male, with a history of smoking for 30 years, presented for dyspnea at mild effort, right upper quadrant pain and right hemiplegia installed progressively 2 weeks before admission. Clinical examination revealed: cachectic cancer de colon hemorroides decreased breath sounds, without crackles, normal blood pressure and heart rate, pain in the right hypochondrium, hepatomegaly ] with nodular irregularities, right quasi-complete hemiplegia.

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Lab tests: leukocytosis with neutrophilia, thrombocytosis, mild hepatic cytolysis, increased inflammatory markers. CT scan revealed multiple brain tumors, with discrete perilesional edema, some with necrosis, with thick, irregular, nodular appearance; two tumors in the left lung. Secondary pulmonary, hepatic and cerebral determinations.

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Right portal vein thrombosis. Neurosurgical exam cancer in hepatic vein that the patient had no surgical indication.

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At bronchoscopy, no lesions have been detected, therefore no biopsy could be performed. The patient was referred to the oncologist for palliative treatment. The final diagnosis was: left pulmonary tumor with hepatic and cerebral pulmonary determinations, total right portal vein thrombosis, right quasi-complete hemiplegia.

Sometimes, the clinical onset of cancer is related to the symptoms of metastasis.

cancer in hepatic vein

A late diagnosis limits the therapeutical options only to palliative therapy. The particularity of the case consists of clinical onset with neurological signs cancer in hepatic vein to cerebral metastasis. Keywords: lung cancer, portal vein thrombosis, cerebral metastases, hemiplegia.

Treating Inoperable Liver Tumors