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What Diagnosis Needs To Be Followed For Liver Cancer?
Age = 45 resident of Afghanistan job = agronomy and rancher chief comp = heart burn duration = 4-6 months appearance look fat physical examination : 1- anemia ......+ (no anemia) 2 - underweight .......+ ( no underweight) 3 - anorexia........- (yes he has) 4 - with right upper quadrant tender ultra sound examination : liver large and multiple mass in liver chest x-ray ==== patchy and also he is asthmatic his doctors say he has a liver cancer!!! may you guide him what to do.........is it true or no? pleas guide what examination should be done to diagnosis his illness? pleas help me I want to make this as a C.B.L. And please guide me that what examination is a goal direct exam for him? any examine that you may suggest ; pleas write what for? thank you so much.
Mon, 18 Aug 2014
Hi, How are you? I am so sorry to hear about all the clinical findings.
My name is Dr Suresh. I am Liver cancer and liver transplant surgeon and I hope to answer all your questions today.
It is not very common to develop liver cancer without any previous history of hepatitis or cirrhosis. I understand that the ultrasound has suggested the possibility of liver cancer. But there are multiple conditions which can mimic liver cancer on a ultrasound including infections, cysts and even spread of cancer from elsewhere in the body.
For the definitive diagnosis of Liver cancer you will need a blood test (Alpha feto protein) and a special CT scan of the liver called a Tri-phasic CT scan. If these tests are also inconclusive then a needle test will be required to biopsy the lesion and look under the microscope.
In the mean time, please do get a complete blood count, liver function test, blood urea, serum creatinine, PT/INR and APTT test. I would also get his blood checked for hepatitis B and Hepatitis C.
I hope your patients starts to feel better soon. Please do get back to me with the blood reports and the scan reports so I can guide you further. Please do not hesitate to contact me for any further details required.
Dr Suresh
My name is Dr Suresh. I am Liver cancer and liver transplant surgeon and I hope to answer all your questions today.
It is not very common to develop liver cancer without any previous history of hepatitis or cirrhosis. I understand that the ultrasound has suggested the possibility of liver cancer. But there are multiple conditions which can mimic liver cancer on a ultrasound including infections, cysts and even spread of cancer from elsewhere in the body.
For the definitive diagnosis of Liver cancer you will need a blood test (Alpha feto protein) and a special CT scan of the liver called a Tri-phasic CT scan. If these tests are also inconclusive then a needle test will be required to biopsy the lesion and look under the microscope.
In the mean time, please do get a complete blood count, liver function test, blood urea, serum creatinine, PT/INR and APTT test. I would also get his blood checked for hepatitis B and Hepatitis C.
I hope your patients starts to feel better soon. Please do get back to me with the blood reports and the scan reports so I can guide you further. Please do not hesitate to contact me for any further details required.
Dr Suresh
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