Asymptomatic Hepatocellular Carcinoma (Clinical Case)

Introduction. Hepatocellular carcinoma is oft en asymptomatic in its early stages and when the tumor is small. Though this type of tumor is oft en accompanied with metastasis to the lungs, the present paper describes a patient whose both pathologies were accidentally detected by a chest X-ray. Accor...

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Main Authors: A. S. Shkaraburov, D. N. Rudenko, E. F. Vaiman, O. M. Soboleva, Yu. V. Zakharova
Format: Article
Language:English
Published: Bashkir State Medical University 2022-10-01
Series:Креативная хирургия и онкология
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Online Access:https://www.surgonco.ru/jour/article/view/723
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author A. S. Shkaraburov
D. N. Rudenko
E. F. Vaiman
O. M. Soboleva
Yu. V. Zakharova
author_facet A. S. Shkaraburov
D. N. Rudenko
E. F. Vaiman
O. M. Soboleva
Yu. V. Zakharova
author_sort A. S. Shkaraburov
collection DOAJ
description Introduction. Hepatocellular carcinoma is oft en asymptomatic in its early stages and when the tumor is small. Though this type of tumor is oft en accompanied with metastasis to the lungs, the present paper describes a patient whose both pathologies were accidentally detected by a chest X-ray. According to his medical history, the last abdominal ultrasound was carried out three years ago.The aim of this paper is to present a clinical case which demonstrates the asymptomatic primary cancer with pulmonary metastases and the diagnostic potential of radiological methods.Materials and methods. During a chest X-ray, pensioner K, aged 65, was found to have a circular shadow of 2.5 cm in diameter in bronchopulmonary segment IV of the right lung. During the outpatient stage, the patient underwent clinical and laboratory diagnosis as well as ultrasound examination of the thyroid gland, abdominal, retroperitoneal and pelvic organs.Results and discussion. Based on the data of histological and immunohistochemical examination, the diagnosis of «poorly differentiated hepatocellular carcinoma» was made. The paper presents a clinical case of hepatocellular carcinoma as an accidental finding against the background of the absence of complaints, clinical picture and characteristic changes in clinical and laboratory diagnostics. The paper highlights the importance of the primary (outpatient) healthcare activity aimed at working with the senior population for early detection of malignant pathology, including HCC.Conclusion. The patient is scheduled for surgery and chemotherapy. The case follow-up showed a successful outcome.
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series Креативная хирургия и онкология
spelling doaj-art-e5f7cfe0b19c403ab01aad14626eede12025-08-20T03:57:27ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012022-10-0112325626010.24060/2076-3093-2022-12-3-256-260494Asymptomatic Hepatocellular Carcinoma (Clinical Case)A. S. Shkaraburov0D. N. Rudenko1E. F. Vaiman2O. M. Soboleva3Yu. V. Zakharova4I.A. Kolpinsky Kemerovo Clinical Consultative and Diagnostic CenterI.A. Kolpinsky Kemerovo Clinical Consultative and Diagnostic CenterKemerovo State Medical UniversityKemerovo State Medical UniversityKemerovo State Medical UniversityIntroduction. Hepatocellular carcinoma is oft en asymptomatic in its early stages and when the tumor is small. Though this type of tumor is oft en accompanied with metastasis to the lungs, the present paper describes a patient whose both pathologies were accidentally detected by a chest X-ray. According to his medical history, the last abdominal ultrasound was carried out three years ago.The aim of this paper is to present a clinical case which demonstrates the asymptomatic primary cancer with pulmonary metastases and the diagnostic potential of radiological methods.Materials and methods. During a chest X-ray, pensioner K, aged 65, was found to have a circular shadow of 2.5 cm in diameter in bronchopulmonary segment IV of the right lung. During the outpatient stage, the patient underwent clinical and laboratory diagnosis as well as ultrasound examination of the thyroid gland, abdominal, retroperitoneal and pelvic organs.Results and discussion. Based on the data of histological and immunohistochemical examination, the diagnosis of «poorly differentiated hepatocellular carcinoma» was made. The paper presents a clinical case of hepatocellular carcinoma as an accidental finding against the background of the absence of complaints, clinical picture and characteristic changes in clinical and laboratory diagnostics. The paper highlights the importance of the primary (outpatient) healthcare activity aimed at working with the senior population for early detection of malignant pathology, including HCC.Conclusion. The patient is scheduled for surgery and chemotherapy. The case follow-up showed a successful outcome.https://www.surgonco.ru/jour/article/view/723hepatocellular carcinomaliver cancerneoplasms metastasesmultispiral computed tomographyradiographyasymptomatic course
spellingShingle A. S. Shkaraburov
D. N. Rudenko
E. F. Vaiman
O. M. Soboleva
Yu. V. Zakharova
Asymptomatic Hepatocellular Carcinoma (Clinical Case)
Креативная хирургия и онкология
hepatocellular carcinoma
liver cancer
neoplasms metastases
multispiral computed tomography
radiography
asymptomatic course
title Asymptomatic Hepatocellular Carcinoma (Clinical Case)
title_full Asymptomatic Hepatocellular Carcinoma (Clinical Case)
title_fullStr Asymptomatic Hepatocellular Carcinoma (Clinical Case)
title_full_unstemmed Asymptomatic Hepatocellular Carcinoma (Clinical Case)
title_short Asymptomatic Hepatocellular Carcinoma (Clinical Case)
title_sort asymptomatic hepatocellular carcinoma clinical case
topic hepatocellular carcinoma
liver cancer
neoplasms metastases
multispiral computed tomography
radiography
asymptomatic course
url https://www.surgonco.ru/jour/article/view/723
work_keys_str_mv AT asshkaraburov asymptomatichepatocellularcarcinomaclinicalcase
AT dnrudenko asymptomatichepatocellularcarcinomaclinicalcase
AT efvaiman asymptomatichepatocellularcarcinomaclinicalcase
AT omsoboleva asymptomatichepatocellularcarcinomaclinicalcase
AT yuvzakharova asymptomatichepatocellularcarcinomaclinicalcase