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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
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.), HematologyOncology (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.
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N Engl J Med 2005;
353:2195-2197, Nov 17, 2005.
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