Detailed Abstract
[E-poster - Liver (Liver Disease/Surgery)]
[EP 006] Unpleasant surprise after atypical liver resection using ICG
Mara MARDARE*1 , Razvan IOSIFESCU1 , Marius ZAMFIR1 , Andrada SPANU1 , Andrei VACARASU1 , Irina BONDOC1 , Dana CERNOV1 , Diana BERZAN1 , Monica DUMITRASCU1 , Maria BARBU2 , Octav GINGHINA1
1 Surgical Oncology, Monza Oncology Hospital Bucharest, ROMANIA
2 Faculty Of Medicine, University Of Medicine And Pharmacy “Carol Davila” Bucharest, ROMANIA
Background : Hepatocellular carcinoma remains a global health problem, as being the most common type of liver cancer. Even if the risk factors are known, still a small percentage of cases have no comorbidities at the time of diagnostic.
Methods : We present the case of a 32-year-old female patient hospitalized in the Monza Oncology Hospital Bucharest. Prior to intervention, the patient was diagnosed incidentally by abdominal CT scan with a tumor in the segment 6 of the liver. The patient had no risk factors for liver disease or biochemical abnormalities.
Results : The CT scan revealed a tumor of 4,8/3,5/4cmm imagistically suggestive for an adenoma. The tumor did not invade the liver, but it had a mass effect on the right kidney. Considering the fact that the patient was young and without comorbidities, the treatment of choice was atypical segment 6 resection performed laparoscopically after intravenous injection of ICG (0,25mg/kg, in total 3ml). ICG staining helped guiding the resection in order to achieve negative edges . The patient was discharged without complications in the 3rd day. The unpleasant surprise was the pathology report that showed that the tumor was a WHO grade 2/3, Edmondson-Steiner grade III/IV hepatocarcinoma . ICG staining proved to be an useful tool for the surgical treatment, in this case.
Conclusions : Early detection of hepatocarcinoma is important in achieving effective treatment with good survival rate. Surgery guided by ICG staining combined with complementary treatment remains the best option for this patients.
Methods : We present the case of a 32-year-old female patient hospitalized in the Monza Oncology Hospital Bucharest. Prior to intervention, the patient was diagnosed incidentally by abdominal CT scan with a tumor in the segment 6 of the liver. The patient had no risk factors for liver disease or biochemical abnormalities.
Results : The CT scan revealed a tumor of 4,8/3,5/4cmm imagistically suggestive for an adenoma. The tumor did not invade the liver, but it had a mass effect on the right kidney. Considering the fact that the patient was young and without comorbidities, the treatment of choice was atypical segment 6 resection performed laparoscopically after intravenous injection of ICG (0,25mg/kg, in total 3ml). ICG staining helped guiding the resection in order to achieve negative edges . The patient was discharged without complications in the 3rd day. The unpleasant surprise was the pathology report that showed that the tumor was a WHO grade 2/3, Edmondson-Steiner grade III/IV hepatocarcinoma . ICG staining proved to be an useful tool for the surgical treatment, in this case.
Conclusions : Early detection of hepatocarcinoma is important in achieving effective treatment with good survival rate. Surgery guided by ICG staining combined with complementary treatment remains the best option for this patients.
SESSION
E-poster
E-Session 03/03 ~ 03/05 ALL DAY