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FEBRUARY2008 TRAINING DAY
LIVER TRAINING DAY - EXETER - DR NICHOLA COPE
Since the session was entirely glass slides I have given links to pics as a reminder of the cases shown
These are my own notes from the session and I cannot therefore vouch for their accuracy! They are mainly for my own use and hence they are very much "note form".
Answers
87 year old female - low attenuation liver lesions ?mets Pt had diverticular abscess and septicaemia, sepsis extended to liver. Abscess with surrounding fibrosis and mass effect. Some vessels and trapped ducts look atypical but are reactive in nature | Case 1 | 1b | 1c |
9cm mass in RLL Well differentiated HCC. Canalicular pattern of CEA staining. "Balling up, rolling off" | Case 2 | 2b | 2c |
Abnormal LFTs . Mild fatigue Hep C viral hepatitis. A few ground glass hepatocytes raising possibility of HepB. | Case 3 | 3b | |
?cholestatic hepatitis due to abx. PMH of oesoph ca and renal tx Metastatic PD adenocarcinoma. Very subtle non-cohesive cells | Case 4 | 4b | 4c |
Recent thoracic surgery. tuberculoma. abnormal LFTs since GA Cholestatic hepatitis | Case 5 | 5b | |
ALP 487, bi 444 ?cause Cholestatic hepatitis | Case 6 | 6b | |
NHL low grade, abnormal LFTs. ?amyloid Hepatic T cell lymphoma (note atypical lymphoid cells in dilated sinuses) | Case 7 | 7b |
