A CASE OF RESECTED SMALL HEPATOCELLULAR CARCINOMA DEFINATELY DIAGNOSED BY PERITONEOSCOPY

Abstract

A case of resected small hepatocellular carcinoma was reported. The patient was 58 year old male with post-hapatitic liver cirrhosis and an association of hepatoma was definately diagnosed by peritoneoscopy. Serum α-fetoprotein level was 3200 ng/ml and HBs-Ag was negative. Peritoneoscopically, a small encapsulated yellowish tumor with a diameter of (about 2 cm) was seen at the right hepatic surface. Right lobectomy was performed and histology of the specimen, showed primary hepatocellular carcinoma (Edmondson's type II, of trabecular and pseudoglandular pattern) with post-hepatitic liver cirrhosis. Peritoneoscopy is very helpful for the diagnosis of a resectable small solitary hepatoma on the hepatic surface.