Severely distended abdomen, weight loss and anorexia. I just can’t get over how large this liver is. Unfortunately, very financially limited owner, so no FNA, but would lymphoma be top of your list?
3 responses to “crazy hepatomegally in a 9 year old DSH”
The cystic component and significant disorganization would suggest biliary carcinoma. Biliary adenoma with remodleing possibel too need to see if resectable as thats the only real treatment. Patients get clinical from space occupying issues or portal hilus issues in my experience. As you can see these masses can get really big and just move caudally where they can.
3 responses to “crazy hepatomegally in a 9 year old DSH”
The cystic component and significant disorganization would suggest biliary carcinoma. Biliary adenoma with remodleing possibel too need to see if resectable as thats the only real treatment. Patients get clinical from space occupying issues or portal hilus issues in my experience. As you can see these masses can get really big and just move caudally where they can.
Thank you, Eric! When you say portal hilus issues, do they end up developing shunts in your experience?
No its more of an impingement or envelopment of the common bile duct.