Slide Digitization by:
Sdn Bhd
September 7th, 2019 (Liver Pathology)
Digital Slide Seminar 2:
Approach to Liver Biopsy with Focal Liver Lesions
Datin Dr Nik Raihan
Case 1:
60/M
Underlying diabetes mellitus, hypertension and dyslipidemia.
A segment III liver lesion (17 x 15 mm) was found during investigation for right hypochondriac pain. Non-anatomical resection was done.
Case 2:
67/M
Chronic hepatitis B with liver cirrhosis and portal hypertension.
A liver mass was detected during investigation for jaundice while undergoing anti-TB therapy. Clinically HCC, with serum AFP of 187.
Core biopsy was performed.
Case 3:
37/F
Incidental finding of segment VI liver nodule on ultrasound during investigation for hypertension.
CT 3 phase: Arterial enhancing lesion; differentials were hepatic adenoma, FNH and hepatic hemangioma.
Laparoscopic resection was done.
Gross specimen: A non-encapsulated subcapsular lesion, which measured 33x28x22 mm. It was pale-yellow to tan in color, with irregular thin fibrous bands seen resulting in nodular/lobulated cut surface appearance.
Case 4:
60/M
Incidental finding of a small segment II liver nodule during surgery for hepatoma (segment V/VI).
Gross: A grayish 10x8x5 mm nodule.