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Abstract: The patient was found to have an occupancy on the liver during a unit physical examination and came to our hospital because he was concerned about a malignant tumor. After intensive CT of the abdomen and intensive MRI of the abdomen, the tumor was considered benign and the nature could not be determined. In order to further clarify the nature of the tumor, surgical treatment was performed to remove it and send it to pathology.
Basic information】Female, 45 years old
Disease Type】Hepatocellular adenoma
Hospital】Liaocheng People’s Hospital
Date of Consultation】November 2021
Treatment plan】Surgical treatment (liver tumor resection)
Treatment Period】10 days in hospital
Effectiveness】Tumor completely removed, good recovery after surgery
I. Initial consultation
One day in November 2021, a middle-aged woman was seen. The patient reported that she was found to have an occupancy in her liver during a physical examination at her workplace, but she usually had no discomfort, no abdominal discomfort, normal appetite and good energy. However, the patient was worried that the occupancy might be a malignant tumor, so she came to the clinic. In addition, the patient himself introduced that he has hepatitis B. There are many cases of hepatitis B developing into liver cancer in China. Therefore, the patient was rather nervous at that time, and we also highly suspected that it might be liver cancer, so we suggested the patient to be admitted to the hospital for further treatment.
II. Treatment process
After admission, the patient was given relevant tests for hepatitis B. The patient was a minor triple-positive, and next, the tumor markers for liver cancer were checked, and AFP and CA199 were in normal range. Enhanced CT of abdomen and enhanced MRI of abdomen showed that the results were not typical hepatocellular carcinoma and more inclined to benign tumor with rich blood supply, but the nature of the tumor could not be determined at present. Communicating with the patient, there are two solutions, the 1st is direct surgery to remove the tumor and send it to pathology. The second one, puncture biopsy can be considered, but puncture biopsy may cause metastasis of malignant tumor. After communicating with the family about the condition, the family agreed to perform surgical treatment. Next, the patient underwent hepatic tumor resection under general anesthesia, and the postoperative pathology confirmed that it was hepatocellular adenoma.
III. Treatment effect
The patient was found, consulted and treated in time, the operation was successful and the tumor was clearly conscience. The patient’s and family’s hanging heart was heavily on the ground. After the surgery, the patient’s psychological pressure was relieved, and at the same time, the patient was young and in good health, and the recovery from the surgery was relatively fast. The postoperative pathology confirmed that it was hepatocellular adenoma, a benign tumor, so the patient’s liver tumor disease was also considered to be clinically cured and there was no problem of tumor recurrence.
IV. Notes
We are glad that the patient recovered physically after the surgical treatment. After the operation, first of all, pay attention to rest, gradually increase the amount of food and strengthen nutrition to help recover physical strength. You can return to normal life and work in about 1 month after surgery. Since the patient in this case has hepatitis B himself, he needs to pay attention to regular review of hepatitis B. If not reviewed and treated regularly, it may evolve into cirrhosis or liver cancer, which will have great impact on health.
V. Personal insight
Hepatocellular adenoma is a common benign liver tumor, but in some cases it is more difficult to diagnose, especially in patients with combined chronic viral hepatitis B. This is the time to be highly alert to the evolution into hepatocellular liver cancer. For patients with hepatocellular adenoma, surgical removal of the tumor is preferred. If the diagnosis of hepatocellular adenoma is confirmed through pathological diagnosis, it is a benign tumor, and the patient can largely reduce the psychological burden. The patient in this case also reflects the importance of early detection, early diagnosis and early treatment.