Abstract
Hepatocellular Carcinoma in a Noncirrhotic Accessory Liver Lobe
Karen Faith C. Danaque, MD
Department of Internal Medicine – Section of Gastroenterology; Vicente Sotto Memorial Medical Center
Clinical Presentation: This paper presents a case of a 29-year-old Filipina who came in with epigastric pain and nausea. Ultrasound showed a liver mass, later confirmed by a contrast computed tomography scan (CT scan) showing an enlarged left lobe of the liver with confluence of masses aggregately measuring 14.6 cm x 21.2 cm x 14cm involving segments 2, 3, 4, 5, and 8. Core needle biopsy findings revealed atypical hepatocytes in trabecular growth pattern with hyperchromatic, moderately pleomorphic nuclei surrounded by moderate granular eosinophilic cytoplasm. Patient was advised extended left hepatectomy. However, intraoperative findings revealed otherwise. A 20 cm x 18 cm firm mass adjacent to the lesser curvature of the stomach and adherent to the mesentery with a ligament connecting to the liver was found to be consistent with an ALL. Due to unexpected intraoperative findings, initial plan of extended hepatectomy was revised to a simple resection of ALL. Final biopsy was consistent with hepatocellular carcinoma. The finding of an Accessory Liver Lobe is interesting in itself given the rarity of this condition. Even more interesting is the occurrence of hepatocellular carcinoma in this rare entity.
Important Dates to Remember
| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
| Resumption of face-to-face Evidence-Based Medicine Workshop Venue to be announced once finalized. |
July 21, 2023 (Friday), 1-5pm |
| Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution | Monthly Critical Appraisal of Topics Conferences per Institution |
| CAT Plenary/Liver Con Dates: September 23, 2023 December 16, 2023 March 2024 (During the JAC) Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE |
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024; |
| Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training - Research Protocol Presentation: August 12, 2023 - Research Forums of the Tripartite Societies |
Week 1: July 15-21, 2023 Week 2: July 22-28, 2023 Week 3: July 29-August 4, 2023 Week 4: August 5-11, 2023 |
| Research Manuscript Workshop for level II GI Fellows-In-Training | January 6, 2024 |