Lung cancer is one of the most common and aggressive cancers.
The most important risk factor is smoking. Case report. A year-old male, with a history of smoking for 30 years, presented for dyspnea at mild effort, right upper quadrant pain and right hemiplegia installed progressively 2 weeks before admission.
Clinical examination revealed: cachectic patient; decreased breath sounds, without crackles, normal blood pressure and heart rate, pain in the right hypochondrium, hepatomegaly ] with nodular irregularities, right quasi-complete hemiplegia. Lab tests: leukocytosis with neutrophilia, thrombocytosis, mild hepatic cytolysis, increased inflammatory markers.
CT scan revealed multiple brain tumors, with discrete perilesional edema, some with necrosis, with thick, irregular, nodular appearance; two tumors in the left lung.
Почему бы мне не помочь тебе? - предложил Хейл.
Secondary pulmonary, hepatic and cerebral determinations. Right portal vein thrombosis.
Neurosurgical exam concluded that the patient had no surgical indication. At bronchoscopy, cancer in hepatic vein lesions have been detected, therefore no biopsy could be performed. The patient was referred to the oncologist for palliative treatment.
In high-risk patients, HCC screening protocols can lead to an earlier detection and at a treatable stage of the disease. Keywords Multiparametric Magnetic Resonance Imaging, diagnosis, hepatocellular carcinoma Rezumat Carcinomul hepatocelular CHC este cea mai frecventă tumoră malignă primară a ficatului, asociată frecvent cu ciroza, cu o incidenţă crescândă la nivel mondial.
The final diagnosis was: left pulmonary tumor with hepatic and cerebral pulmonary determinations, total right portal vein thrombosis, right quasi-complete hemiplegia. Sometimes, the clinical onset of cancer is related to the symptoms of metastasis.
Hepatocellular Carcinoma: Treating Liver Cancer
A late diagnosis limits the therapeutical options only to palliative therapy. The particularity of the case consists of clinical onset with neurological signs secondary to cerebral metastasis.
Keywords: lung cancer, portal vein thrombosis, cerebral metastases, hemiplegia.