dvramana

Respected Doctors , My daughter aged 18 suffered from stomach pain on 5<SUP>th</SUP>,6<SUP>th</SUP> and 7<SUP>th</SUP> Feb’08. On 8th Feb'08 she was shown to Dr( Gynocologist ). After undergone ultra sound scan (in which a solid hepatic mass was observed in Right lobe of liver ), Dr. advised her to go to a Gastroenterologist . On 11.2.08 , she was shown to Dr.( Surgeon in GI ) and following Tests/Diagnosis/Treatment have been organized. 11.02.2008 - Ultrasound Scan – Atrophic changes in Rt.lobe of liver with hypertrophy of quadrate lobe and thrombosis of portal vein and portal cavernoma. 11.02.2008-Upper GI Endoscopy & Colonoscopy- Normal 11.02.2008 - Biochemistry – Liver Function Test , AFT, CBP and Serum Creatine 12.02.2008 - CT Scan – 1.Heterogeniously enhancing lesion in right lobe with non visualized right portal vein(! Compressed ) and isodense in delayed phase 2. Few small lesions in left lobe. 3.No Ascites - ! Atypical hemangioma , ! Adenoma , ! Mesenchymal lesion. After going through all the above reports Dr. suggested her to under go Diagnostic Laparoscopy. 14.02.2008 - Admitted in the hospital and ECG , RBG , Serum Electrolytes , ProthambinTime , ESR , FBG , X Ray etc., were conducted. 15.02.2008 - Diagnostic Laparoscopy Surgery + FNAC + Punch Biopsy was conducted. ( Operative findings : Large tumor arising from right lobe of liver and Multiple smaller nodules found in left lobe. ) 21/22.02.2008 – Biopsy and Cytology Reports say No evidence of Malignancy and Features are that of steatosis of liver. After going through the above reports, Dr. suggested her to under go MRI for further investigation. 28.02.2008 – MRI Test – Right lobe liver well encapsulated heterogeneously enhancing mass lesion with non opacified portal vein. Suggests the possibility of neoplastic lesion probably fibrolamellar HCC. Segment 8 lesions probably represents metastasis. Due to the above report Dr. suggested her to under go Tru cut liver biopsy . 01.03.2008 – Tru cut liver biopsy conducted 06.03.2008 – Report of Tru cut biopsy suggested that Adenoma needs exclusion. <SUP> </SUP>After going through the above reports ,Dr. suggested her to under go surgery for removal of mass from the liver lobes. After taking opinions from other surgeons and radiologists , she has been admitted in the hospital for surgery. 12.03.2008 - Admitted in the hospital and CBP , BG&T , LFT , ProthambinTime , Immunology ,ECG , X Ray FBG , Serum Electrolytes etc., were conducted. 14.03.2008 – Exploratory Laparotomy + Wedge Biopsy of Left Lobe SOL + Tru cut Biopsy of Right lobe SOL conducted. Operation Findings – (1). Evidence of right lobe segment 5,6,7 – 10x 8 cm large exophytic mass. (2) Trucut biopsy and frozen – s/o adenoma. (3) Evidence of multiple adenoma – Palpable in bothright and left lobe . (4) Left lobe 3x2 cm adenoma – wedge excision and frozen – s/o adenoma –No evidence of malignancy. (5) No ascites / deposits. In view of multiple SOL presenting both lobes of liver excision was abandoned. Frozen section suggested hepatic adenoma. Dr. indicated the necessity for Liver Transplantation in future ( after two or three years ) if multiple adenomas create problem. 19.03.2008 – Discharged from hospital. Advised three weeks post operative care and rest. As mass of size 10 X 8 cm ( even though benign only ) could not be removed , what will be future course of action AYURVEDA suggests as treatment to my daughter Thanking you