56year old male presented to his local physician for dry cough,clinical exam was nil significant.CBC is N except ESR 40,blsugar ,urea,creatinine, LFT were N,X Ray chest N,U/S mass in the R lobe of liver.when he was ref to our hospital.viral markers are N so as AFP and PT INRAny other investigation.A high resolution cect was reported as HCC in segments 6 and7.Rest of the study was N.Anyother investigation will be of any help before proceeding for surgery or straight away go ahead with surgery.I have once again repeating AFP and
viral studies and PFT.
I am not sure whether you will follow my suggestions, but even then I would advise to refer the patient to Ayurveda expert. There are specific herbs for such cases.In India there are some M D Physicians they may help on this issue.
Thank you Dr. Prasanna for sharing this interesting case. I would like to investigate the dry cough further by doing a CT scan chest, since the CXR was normal. I would also like to get a histopathological confirmation of the lesion via e.g. fine needle aspiration
Dr shally,Thankyou, I got a pet scan of the whole body.chest is normal.PFT sever respiratory obstruction.
Dr kumar ,with due respect I would consider it as a last line of treatment .
even though mass in right posterior segment.
would you consider doing volumetric analysis - functional liver reserve.
Good suggestion ,it is our routine practice to the volumetric analysis of the opposite lobe. thankyou
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