SEER Training Modules

Case 3

Physical Exam

01/17/XX

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.

X-Rays & Scans

12/27/XX

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.

Scopes

01/20/XX

Diagnostic laparoscopy: Mass seen dome of liver, 4cm, no peritoneal disease or ascites.

Laboratory

01/17/XX

AFP WNL.

Pathological Reports

12/30/XX

Liver biopsy: negative for malignancy.

01/20/XX

FNA liver: hepatocellular carcinoma.

Treatment

01/25/XX

Radiofrequency ablation R lobe liver tumor.