Neoplasms     Portal     HypertensionClinical Surgery DepartmentDr. Benjamin Robles MadrigalDr. Hector Manuel Vírgen Ayala...
NeoplasmsBeningMalignantMetastaticCyst
Liver Cell Adenomawomen (11:1)20-40 years oldOCPs70% lonely                      Soft                      Yellow         ...
Liver Cell AdenomaAbdominal pain     (hemorrhage or     compresion)Dx.      MRI      CT      BiopsyTxResectionResection + ...
Focal Nodular                 HyperplasiaWomen40 years old80% lonely5 – 10 cmCentral Star-Shaped Scar
Focal Nodular             HyperplasiaAbdominal pain(rarely)Dx.      CT      MRITx      Resection
HemangiomaMost commonWomen 3:1 (45 yearsold)Cavernous.< 5cmAsyntomaticDx      CT + Contrast      MRITx      Resection     ...
Hepatocellular                Carcinoma1-3:100,000Men (2-8:1) 50-60       Risk Factors:years old                      Cirr...
Hepatocellular               CarcinomaSymtomps      Abdominal pain      weight loss      Anorexy      Nausea      Budd-Chi...
Hepatocellular              CarcinomaDx.      CT      MRI      ECO      Angyography      AFP      Bx
Hepatocellular                 CarcinomaTx.Qx       HepatectomyAblative       Ethanol Inyection       Thermal AblationTran...
Portal                 HypertensionPortal Vein Pressure > 10 mm Hg Flow Resistance      Pre - Hepatic (Obstruction)      H...
Portal                  HypertensionTx.ShuntsBallon TamponandeTIPS (Transjugularintrahepatic portosystemicshunt)Vasopressi...
Expo clinicas neoplasias
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Expo clinicas neoplasias

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Expo clinicas neoplasias

  1. 1. Neoplasms Portal HypertensionClinical Surgery DepartmentDr. Benjamin Robles MadrigalDr. Hector Manuel Vírgen AyalaFrancisco Javier Robles Saucedo
  2. 2. NeoplasmsBeningMalignantMetastaticCyst
  3. 3. Liver Cell Adenomawomen (11:1)20-40 years oldOCPs70% lonely Soft Yellow 2-15cm Glycogen & Fat (intracellular)
  4. 4. Liver Cell AdenomaAbdominal pain (hemorrhage or compresion)Dx. MRI CT BiopsyTxResectionResection + Embolization (Hemorrhage)
  5. 5. Focal Nodular HyperplasiaWomen40 years old80% lonely5 – 10 cmCentral Star-Shaped Scar
  6. 6. Focal Nodular HyperplasiaAbdominal pain(rarely)Dx. CT MRITx Resection
  7. 7. HemangiomaMost commonWomen 3:1 (45 yearsold)Cavernous.< 5cmAsyntomaticDx CT + Contrast MRITx Resection Radiotherapy Embolization
  8. 8. Hepatocellular Carcinoma1-3:100,000Men (2-8:1) 50-60 Risk Factors:years old Cirrhosis Smoking Alcohol Contraceptives VHB & VHC
  9. 9. Hepatocellular CarcinomaSymtomps Abdominal pain weight loss Anorexy Nausea Budd-Chiari Syndrome Jaundice Hemobilia
  10. 10. Hepatocellular CarcinomaDx. CT MRI ECO Angyography AFP Bx
  11. 11. Hepatocellular CarcinomaTx.Qx HepatectomyAblative Ethanol Inyection Thermal AblationTransarterial EmbolizationCombinatedExternal RadiationSistemic Chemotherapy Inmunotherapy
  12. 12. Portal HypertensionPortal Vein Pressure > 10 mm Hg Flow Resistance Pre - Hepatic (Obstruction) Hepatic (Cirrhosis, Hepatitis) Post – Hepatic (Sx. Budd – Chiari) Portal Circulation (>1350 ml/min) Porto-arterial Fistula Splenic circulation increment (Sx. Banti)
  13. 13. Portal HypertensionTx.ShuntsBallon TamponandeTIPS (Transjugularintrahepatic portosystemicshunt)VasopressinLiver TransplantEndoscopicSchlerotherapy.

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