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06 / Hepatobiliary Surgery · advanced

Four spots in the liver

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Surveillance clinic

He is asymptomatic and fit. Carcinoembryonic antigen has risen from 3 to 42. CT shows four lesions, three in the right lobe and one in segment 4, the largest 4 cm. There is no extrahepatic disease.

Open in 3D: the liver and its segments

What does the presence of four lesions mean for treatment intent?

SurgSpace TutorContext-aware, and it will not spoil the case.