My daily working routine required me to drive to work and walk a 15 minutes to reach office from the car park.
From 14 July 2016 to 20 July 2016, while I were walking to office from the car park, I felt like muscle pain at my right abdomen under the ribs. Day by day, it was getting worse. At first, I felt the pain just after I reached office. Next, it came after I walked for 10 minutes, 5 minutes and then just a few minutes/seconds.
On 21 July 2016, my fever still did not go away, so I went to see family doctor. Family doctor suspected that my gall bladder has stones and recommended me to go and have a full abdomen ultrasound scan. On 22 July 2016, the ultrasound scan showed that my gall bladder was okay while my liver was slightly enlarged. I could sense something serious is going on. Below was the full report of the ultrasound scan.
Liver is slightly enlarged. Right lobe liver is deformed. There are masses which were of "differential densities". Large mass is about 97mm in size. An infiltrating mass must be excluded. CATs scan is indicated.
Gall bladder is distended. Mucosa is clear. No gallstones or infection.
Pancreas and spleen are clear.
Right and left kidneys are clear. Bipolar lengths are 11.8cm average. Cortical and collecting systems are normal.
Bladder is clear. Uterus is normal size and it is in position. Ovarian areas are seen clear.
IMPRESSION: Right lobe of liver is deformed and there is mass lesion.
On 25 July 2016, again, CATs scan confirmed that my liver was enlarged. This even confirmed that there is something seriously going on with my liver. Below is the full report of the CATs scan.
Plain and Post IV contrast, 4-phase. The liver is enlarged, with fine irregularities of its surface suggesting cirrhosis. There is a tumour, which is mainly in the segments 5 and 6 of the right lobe, with extension into segment 4B of the left lobe. The morphologic appearances suggest HCC. No nodule in the lateral segment of the left lobe. There is patency of the right, left and main portal veins. Patent hepatic veins and IVC. Enlarged nodes in the hepatoduodernal ligament, and upper left paraaortic area below the left renal vein. Small ascites in the pelvis. Normal intrahepatic and extrahepatic ducts. Minimal splenomegaly. Normal gallbladder, pancreas, adrenal glands, kidneys and urinary bladder. Normal uterus and ovaries. No mass in the small or large bowels. The lung bases are clear. No pleural effusion.
SUMMARY: 1) Hepatomegaly, cirrhosis, and large HCC in segment 5 and 6 of the right lobe, with extension into segment 4B of the left lobe. 2) Lymphadenopathy in the hepatoduodenal ligament and left upper paraaortic area, and small ascites in the pelvis. 3) Patent right, left and main portal veins; hepatic veins and IVC.With full of curiosity, I immediately search online for those medical terms that I do not understand after I received the report from hospital before meeting the doctor. The HCC means hepatocellular carcinoma which is the common liver cancer. The report was actually saying that it suggested that I am having liver cancer here.
On 2 August 2016, the Selayang Hospital hepatobiliary surgeon doctor confirmed that the CATs scan showed that I am having liver cancer and suggested that I should go for surgery since my liver function test showed that my liver is still functioning well.
