Removing a 3 kg liver tumor from a 24 year old female patient

On January 10, Dr. Trinh Van Thao, Head of the Abdominal Surgery Department, Military Hospital 175, said that the largest liver tumor had just been operated on at the hospital. Previously, the hospital had also successfully operated on many cases of large liver tumors, most recently a case of a right liver tumor weighing 1.65 kg for a 78-year-old male patient.

The special point of this surgery is that the liver tumor was discovered by chance in a very young 24-year-old female patient with a history of bronchial asthma. The liver tumor was modeled, the volume was accurately calculated, and the condition of the related blood vessels was fully described on the 512-slice CT-Scanner system. It was estimated that the liver tumor weighed up to 3 kg, occupying most of the upper half of the abdominal cavity and more than 80% of the total liver volume, causing compression of the blood vessels, making it very difficult to access in the usual way and very easy to cause the tumor to rupture.

The surgical team consulted with Associate Professor Le Van Thanh, Director of the Institute of Digestive Surgery, 108 Central Military Hospital, and decided to resect the right lobe of the liver through the anterior approach. This is an extremely complicated form of liver resection, difficult to perform with many risks of accidents and complications during and after surgery, especially liver failure.

TP.HCM: Cắt khối u gan nặng 3 kg cho nữ bệnh nhân 24 tuổi- Ảnh 1. — A 3 kg liver tumor was removed from the patient's body.

After more than 2 hours of surgery, the giant liver tumor was completely removed. The patient was cared for under the ERAS early recovery program after surgery, and from the first day after surgery, he was able to stand, walk, and eat by mouth. The patient is now completely stable and was discharged from the hospital 7 days after surgery.

According to Dr. Trinh Van Thao, the tumor was identified as a hepatocellular adenoma (HCA), a rare benign liver lesion, and one of the largest cases of hepatocellular adenoma ever recorded. HCA usually exists alone and is found in young women using estrogen-containing drugs.

HCA can cause symptoms of pain, heaviness in the upper right abdomen, reducing the quality of life, the risk of rupture causing bleeding up to 68% or transforming into malignant liver cancer at a rate of 5%. Currently, hepatocellular adenoma is recommended for early surgery at any size, especially when the tumor is 5 cm or larger or the tumor has caused complications.

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