Liver transplant or otherwise

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New Member

Date Joined Jan 2009
Total Posts : 1
   Posted 1/27/2009 3:26 AM (GMT -6)   
Please guide me what treatment is possible for the below mentioned CT Scan report

Enlarge liver shows multiple hypoechoic focal leions in both the lobes, the larger ones in the segment 4 and 8 average around 20mm each. Known case of Hepatitis C, Genotype 3a.

CT Scan of the abdomen was performed after IV injection of contrast material and portal venous phases.

The study demonstrates an infiltrative arterially enhancing mass lesion, practically replacing the right hepatic lobe. This is being compunded by the large arterioportal fistula most likely between the right hepatic artery and right portal vein. The main portal vein is still unenhanced on arterial phase imaging and there is contrast in the branch portal veins.

In addition, the left liver lobe demonstrates multiple arterial enhancing nodules, which demonstrate portal venous phase washout. All these findings are quite compatible with multicentric HCCA in involving both liver lobes.

A moderate amount of abdominal ascites. Spleen is of normal size.

No convincing porta hepatis lymphadenopathy.

Gallbladder, is normally distended. Pancreas appears unremarkable.

A note is made of heterogeneous filling defect affecting the right illiac veins and extending to involve the infarenal IVC. This is quite suspicios for a DVT.

Regular Member

Date Joined Dec 2008
Total Posts : 302
   Posted 1/27/2009 5:37 AM (GMT -6)   

Welcome to the forum. First and foremost, you need to understand that no one in this forum is prepared to give you medical advice.

I will, however, tell you what I believe the report above is suggesting. . . Cholangiocarcinoma (multicentric HCCA) or cancer of the bile ducts. This report suggests it is in both sides of the liver. The individual who's scan this belongs to needs to see a qualified hepatologist for treatment options.

God bless and good luck.

Pink Grandma
Veteran Member

Date Joined Nov 2006
Total Posts : 2445
   Posted 1/27/2009 9:07 AM (GMT -6)   
Hello Shahid14, and welcome to HealingWell.   None of us are licensed physicians.  We all are only ordinary people with some experience with the different types of liver diseases whether being a patient or a cargiver of a patient.   We are a support system for each other.  We do not give out medical advise.  We may at times have suggestions to ask your own doctor about but that's as far as is goes. 
I agree with pscwife,  that patient needs to be under the care of a hepatologist. 
Good luck..........
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.

Elite Member

Date Joined Jul 2005
Total Posts : 12014
   Posted 1/27/2009 4:13 PM (GMT -6)   

I concur with the other posts.  Treatment will be needed, but regular IV or oral chemo does not work on liver cancer.  DVT means "deep vein thrombosis" or clot.  That is something that should be addressed with your doctor, also.

Please see a reputable hepatologist as soon as possible...who may refer you to a radiology oncologist.


Forum moderator - Hepatitis
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland

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