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70-year-old woman with abdominal pain and history of hepatitis C has recently diagnosed R lobe liver lesion. Outside biopsy negative. On exam, there is moderate RUQ tenderness to palpation.
Abdominal ultrasound: 4.3cm mass R hepatic dome of liver, consider hemangioma vs. metastatic disease. No adenopathy seen. No invasion of hepatic vasculature. Thickening on cecum, exam otherwise normal.
Chest X-Ray negative.
Diagnostic laparoscopy: Mass seen dome of liver, 4cm, no peritoneal disease or ascites.
Liver biopsy: negative for malignancy.
FNA liver: hepatocellular carcinoma.
Radiofrequency ablation R lobe liver tumor.