Enlarging liver lesions
- Nov 28, 2017
- 1 min read
A 72 year old male presented to his family MD for follow-up of two liver hemangiomas previously identified. Repeat ultrasound demonstrated growth over the last year. His past medical history is significant for chronic hepatitis B infection, diabetes and hypertension.
He underwent CT scans of his chest, abdomen and pelvis and MRI which reported two concerning lesions isolated to the liver. Upper and lower endoscopies were negative for a gastrointestinal primary.
A percutaneous biopsy was performed which confirmed the findings of an adenocarcinoma. The tumour is negative for CEA, TTF-1, S100, alphafetoprotein, Hep Par-1, glypicans 3, CDX2, CK20, CD30, CD15 and estrogen receptor.
PET CT demonstrated as well no other cancerous lesions in the body aside from the two isolated spots in the liver.
Given the isolated nature of these two tumours, what is the suspected primary cancer? What is the management?
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