Video Endoscopic Sequence 1 of 6.
Laparoscopy of Hepatocellular Carcinoma
This is a 23 year-old male who presented with intractable vomiting had been admitted for a week in a public hospital, discharged without giving any diagnosis, had worked at a gas station, possibly was the triggering factor of this tumor. "gasoline odor".
In the abdominal ultrasonography this mass is detected as well as the MRI.
Laparoscopy is performed with biopsy of metastases to the peritoneum.
Hepatocellular carcinoma (HCC) is a primary malignancy of the hepatocyte, generally leading to death within 6-20 months. Hepatocellular carcinoma frequently arises in the setting of cirrhosis, appearing 20-30 years following the initial insult to the liver. However, 25% of patients have no history or risk factors for the development of cirrhosis. The extent of hepatic dysfunction limits treatment options, and as many patients die of liver failure as from tumor progression.
Although it is currently one of the most common worldwide causes of cancer death, a major impact on the incidence of hepatocellular carcinoma should be achieved through current vaccination strategies for hepatitis B virus (HBV) infection, screening and treatment for hepatitis C virus (HCV) infections, and from the reduction of alcoholic liver disease. However, because the latency period from hepatic damage to hepatocellular carcinoma development is very long, it may be many years until the incidence of hepatocellular carcinoma decreases as a result of these interventions.
Pubmed: Risk of liver cancer and exposure to organic solvents and gasoline vapors among Finnish workers.
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