hepatocellular carcinoma

Complete English Translation · Source 1

Chengdu Pují Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Pují

Traditional Chinese Medicine for cancer rehabilitation cases

kindness and skillful treatment

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

Clinical summary:

Diagnosis: hepatocellular carcinoma Age: 64 Gender: male Region: Jiangxi

Jiangxi Province, Pingxiang City, hepatocellular carcinoma [PATIENT], detected in mid-2025 during examination of a huge mass in the right lobe of the liver, subsequently

diagnosed with hepatocellular carcinoma, accompanied by liver cirrhosis, hepatitis B, ascites, pleural effusion, and bone metastases among other conditions

symptoms, self-reported gastric distension, right abdominal distension and pain, a June report showed lesion size approximately 92mm x 77mm, at

sought traditional Chinese medicine treatment at our institute in July

after medication, re-examined in August 2025, report shows lesion size reduced to approximately 74mm x 68mm x 65mm

, ascitic fluid has disappeared, patient reports no abdominal pain or distension

detailed report

impression

follow-up after hepatic artery embolization surgery, compared with the old film from PACS20250422

comparatively, current imaging shows: a huge mass in the right lobe of the liver has shrunk compared to before, current size approximately

92mm ×77mm,

appears as short-to-isointense-to-long T1, short-to-isointense-to-long T2 signal, DWI

appears as isointense signal, corresponding ADC shows low to moderate to high values, post-contrast shows heterogeneous

uniformly markedly enhanced, degree of enhancement reduced compared to before, and enhancement components decreased compared to before; lesion

focus supplied by the right hepatic artery, compression of the right portal vein branch, compression of the hepatic duct at the porta hepatis, and liver

within the bile duct at the porta hepatis, similar to previous findings. Previously adjacent multiple nodular enhancing foci have increased in number, larger

ADC values are low, diameter approximately 10mm. The liver surface is irregular, and intrahepatic lesions are visible

lesion located in the left inner lobe (SE/IM: 2/14), DWI shows high signal, corresponding

diffuse short T1 long T2 nodular lesions. Enlarged spleen, no abnormal signals or abnormal hyperintense signals detected internally

changes. Multiple short T2 signal foci visible in the gallbladder, similar to previous findings. Both kidneys show multiple large

newly developed small lymph nodes roughly similar to previous findings, largest measuring approximately 8mm in short diameter. Right cardiac diaphragmatic angle shows multiple

small to medium-sized round-shaped non-enhancing long T1 long T2 signal foci similar to previous findings. Multiple nodular enhancing foci at the porta hepatis

Small lymph nodes visible, largest with short diameter about 7mm. Peritoneal fluid volume increased compared to before

Multiple. Shows right pleural effusion. The rest is basically unchanged.

Liuyang Jili Hospital Radiology Department

CT diagnosis report

Liuyang Jili Hospital

Right kidney shows punctate high-density shadows, bilateral renal substance shows round low-density

as described by the patient,

Sister controls meat wood seen ya obvious effusion production you.

74mm×68mm ×65mm®

Patient's august follow-up showed lesion progression of six steps shrinkage, size approximately

Patient's august follow-up showed complete disappearance of peritoneal fluid

Diagnostic opinion;

Mass: hepatic tumor after interventional therapy? hepatic tumor with calcification?

Ling service found calculus, cholecystitis:

Drowsy small calculus, possible bilateral renal cysts.

and CT contrast enhancement examination;

No obvious effusion detected

Report date: 2025/8/15 15:01:21

Report is preliminary, if discrepancies exist, further discussion will be conducted before revision

Reporting doctor

2029/8771:20:36

Consultation physician

Reporting physician Zhong Shanshan