DIFFICULT HCC

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PAIRS WEB

DR. MICHAEL SOULEN

Health & Medicine

34 y.o. Russian computer
programmer
Presents with abdominal pain and weight loss
Baseline imaging shows 17cm hepatic mass
Biopsy -- hepatic adenocarcinoma

Resection Attempted
• After 3.5 hours, unable to clear tumor off
segment III duct
• Abdomen closed
• Now what?

• presented with abdominal pain, fatigue,
and weight loss
• AFP >450,000
• multiple liver masses
• Bx -- HCC vs. germ cell
34 y.o. Asian mother
hep B

Chemoembolization ComplicationsChemoembolization Complications
Non-target embolization IMANon-target embolization IMA

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