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News

Tash’s extreme liver tumour

2nd August 2018

By Ivan Doran, RCVS Specialist in Small Animal Soft Tissue Surgery

Tash is a lively little dog who was presented to one of our medicine Specialists, Dr Guillaume Ruiz, with suspected pancreatitis. Her diagnostic work up included a CT scan and it was at this point that we knew a mass was filling a large part of her liver. It was centred in the right medial lobe, near the hilus, and was displacing the gallbladder. Whilst there was no evidence of metastasis, the size and location of the mass precluded standard liver lobectomy as a surgical treatment.

Two options were considered:

  1. Intravascular embolisation is a minimally invasive technique of occluding the tumour’s blood supply, under fluoroscopic guidance, through a small access incision in the jugular vein
  2. Central hepatectomy is surgical removal of the entire central division of the liver, sparing the gallbladder.

One of our soft tissue surgeons, Ivan Doran, performed a central hepatectomy. Tash coped well and she recovered swiftly from her surgery. Histopathological analysis then confirmed the suspected diagnosis of a well differentiated hepatocellular carcinoma. The oncological margins were clear and the long term prognosis for Tash is very good.

Tash’s CT scan

CT scan of Tash's liver tumour

Tash after surgery

Tash after surgery

 

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