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Case Records of the Massachusetts General Hospital
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Volume 353:401-410 July 28, 2005 Number 4
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Case 23-2005 — A 57-Year-Old Man with a Mass in the Liver
Kenneth K. Tanabe, M.D., Lawrence S. Blaszkowsky, M.D., Raymond T. Chung, M.D., Michael A. Blake, M.D., and Gregory Y. Lauwers, M.D.

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Presentation of Case

A 57-year-old man was admitted to the hospital because of a mass in the liver.

The patient had been well until approximately two years before admission, when a diagnosis of chronic active hepatitis associated with hepatitis B virus (HBV) infection was made at another hospital. Lamivudine was started one year before admission; the results of liver-function tests returned to normal after the treatment was initiated, and the viral load fell. A surveillance ultrasonograpic examination of the abdominal area performed five months before admission revealed a mass, 3 cm in diameter, in the right lobe of the liver. Four months before . . . [Full Text of this Article]

Discussion of Management

Hepatitis B Infection and Hepatocellular Carcinoma

Pretreatment Staging of Hepatocellular Carcinoma

Primary Treatment of Hepatocellular Carcinoma

Pathological Discussion

Adjuvant Treatment

Anatomical Diagnosis


Source Information

From the Departments of Surgical Oncology (K.K.T.), Hematology–Oncology (L.S.B.), Medicine, Gastrointestinal Unit (R.T.C.), Radiology (M.A.B.), and Pathology (G.Y.L.), Massachusetts General Hospital; and the Departments of Surgery, (K.K.T.), Medicine (L.S.B., R.T.C.), Radiology (M.A.B.), and Pathology (G.Y.L.), Harvard Medical School.


Related Letters:

Case 23-2005: A Man with a Mass in the Liver
Hawkins M. A., Dawson L. A., Smith A. D., Morse M. A., Kuo P. C., Gans H., Tanabe K. K., Chung R. T., Blaszkowsky L. S.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:2195-2197, Nov 17, 2005. Correspondence

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