A 60-year-old woman was referred to our department for an incidental finding of gastric polypoid lesion on enhanced CT (E-CT) (figure 1A). She had a medical history of hepatocellular carcinoma (HCC) treated 3 years prior with transcatheter arterial chemoembolisation. E-CT is routinely performed once a year for the surveillance post HCC therapy. No obvious recurrence was detected in the liver. Upper gastrointestinal endoscopy revealed a 30 mm pedunculated gastric polypoid lesion on the greater curvature of the antrum (fi gure 1B).
All blood test results were nearly normal: haemoglobin, 11.2 g/dL; platelets, 125 000/mm3; bilirubin, 0.7 mg/dL; aspartate aminotransferase, 51 U/L; alanine aminotransferase, 39 U/L; alkaline phosphatase, 166 U/L; gamma-glutamyl transpeptidase, 32 U/L; and prothrombin index, 98%; alpha-fetoprotein, 62 ng/mL; des-gamma-carboxy prothrombin, 37 mAU/mL. The hepatitis C virus had been eliminated 6 months before this examination and the test for hepatitis B virus was negative. Endoscopic ultrasonography revealed a heterogeneous and hypoechoic internal echo. There was...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.