Liver Tumors and Liver Cancer

Complete English Translation · Source 1

Chengdu Puji Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE TCM outpatient department

Chengdu Puji Traditional Chinese Medicine Research Institute TCM outpatient department

TCM case of tumor rehabilitation

devoted to healing and compassion

differential diagnosis and treatment, addressing both root and symptoms, living with tumor

disease overview:

disease: liver cancer age: 43 gender: male region: Beijing

Beijing 43-year-old liver cancer patient, Mr. Cai, previously underwent surgery and targeted therapy locally, followed up after examination

shows fluid accumulation in the hepatic region, with a large lesion in the S5/6 segments reaching 3.9cm×3.8cm, recurrence of disease present,

possible metastasis, patient sought alternative treatments due to continuous disease progression, visited our hospital from September onward.

public Peking University People's Hospital

Peking University, People's Hospital

CT examination report

examination date: 2024-07-31

report date: 2024-08-01

imaging number [ID REDACTED]

name [REDACTED]

hospitalization number [REDACTED]

male included

age 43 years

abdominal and thoracic CT with contrast enhancement (abdomen)

findings:

density manufacturing

after liver cancer resection and radiofrequency ablation, partial liver tissue missing, a patchy fluid collection seen adjacent to the right lobe of the liver at the surgical site

no strong

liver $5/6 segments show round slightly hypodense lesions, size approximately 3.9X3.8cm, enhancement

contrast-enhanced scan

though scan motion

S4 segment shows a round slightly hypodense lesion, size approximately 1.9X1.5cm, on contrast enhancement, the border shows nodular enhancement

The margin is suspicious for slight enhancement. The main portal vein is approximately 1.5 cm wide, the splenic vein is approximately 1.2 cm wide, and the lower esophagus and stomach

changes, clear margins: a small nodular hypodense lesion is seen in the S8 segment of the liver, measuring approximately 0.8×0.5 cm, which shows slight enhancement on contrast enhancement

Peri-arterial veins show tortuosity and thickening.

The spleen is enlarged, measuring approximately 14.2×8 cm, and a slightly hypointense nodule is visible in the splenic sinus, measuring approximately 0.6 cm

The gallbladder is not enlarged, with edematous and thickened wall, and an abnormal density lesion is seen within the lumen; no significant dilation is seen in the intra- and extrahepatic biliary tracts.

Both kidneys show normal size and shape. Multiple round hypodense non-enhancing lesions are visible, with the largest located in the left kidney, size (A!

The pancreas shows no abnormal morphology or density. No abnormal enhancement is seen; the pancreatic duct shows no dilation.

The urinary catheter shows no dilation.

approximately 27×2.3 cm, a focal fatty density lesion is seen in the left kidney (SE301 Im299), bilateral renal pelvis, vertebral pelvis, and ureters

No abnormal density lesions are seen in the stomach: the intestinal tubes show no dilation, no abnormal gas or fluid accumulation.

pEOK

No obviously enlarged lymph nodes are seen in the peritoneal cavity or retroperitoneum.

After two and a half months of medication, the patient reported side effects including diarrhea, abdominal distension, headache, and poor sleep quality.

improved; upon re-examination in November, the previous hepatic lesion in segments S5/6 measuring 3.9 cm x 3.8 cm has disappeared.

Not affiliated with Peking University People's Hospital

CT examination report

Stage I•2024--21

Report date: 2024-11-25

Imaging ID [ID REDACTED]

Name [REDACTED]

male

hospitalization number [REDACTED]

age 43 years

ward

abdominal and pelvic CT with strong contrast enhancement (abdomen and pelvis)

Findings:

A patchy liquid density shadow is visible adjacent to the right lobe; a small patchy slightly hyperdense lesion is visible at the margin of the right hepatic lobe,

after hepatectomy for hepatocellular carcinoma, radiofrequency ablation for hepatocellular carcinoma, and hepatic interventional therapy, partial liver tissue is missing,

liver region after surgery

X1.5 cm, no enhancement is seen on contrast enhancement

Imaging shows irregular nodular dense shadows in the liver 5/6 segments;

2 2.4

Surface is slightly uneven, and the liver lobe ratio is not well coordinated

A round slightly low-density shadow was seen in the left hepatic segment 64

size approximately 1.9

liver surface

Size of 1.5 cm, with nodular enhancement at the edge on contrast-enhanced scanning, clear borders; a small nodular slightly low-density shadow was also seen in the liver S8 segment

Spleen vein diameter approximately 1.2 cm, tortuous and dilated venous shadows observed around the lower esophagus and gastroesophageal junction. Cool

a shadow of approximately 0.8×0.5 cm, with slight enhancement at the edge on contrast-enhanced scanning. The main portal vein is about 1.5 cm wide;

The gallbladder is not enlarged, with wall edema and thickening, no abnormal dense shadows observed within the lumen; no significant dilation of intra- and extrahepatic biliary tracts.

The pancreas shows normal morphology and density, no abnormal enhancement, no dilation of the pancreatic duct.

Spleen enlargement, size approximately 14.2×4.2 cm, with a slightly low-enhancement small nodule within the parenchyma, size about 0.6 cm.

Both kidneys show normal size and shape, with multiple round low-density non-enhancing shadows; the largest lesion is located in the left kidney,

no dilation.

approximately 2.7×2.3 cm, punctate fatty density shadows seen in the left kidney (SE11 Im476), bilateral renal pelvis, calyces, and ureters show no dilation

Bladder is well filled, wall is not thick, no obvious abnormal dense shadows observed within the lumen.

No obvious abnormalities were seen in the prostate and bilateral seminal vesicles. No abnormal dense shadows were seen in the gastric wall; the observed intestinal tubes show no dilation,

HOSPITA

Junxing and abdominal nodes after no obvious 5 enlarged lymph nodes AINERSITY

No abnormal gas or fluid accumulation was observed.

•/NG