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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:


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:


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:


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:


Incidental finding of a small segment II liver nodule during surgery for hepatoma (segment V/VI).

Gross: A grayish 10x8x5 mm nodule.


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