الفهرس 
ANATOMY OF LIVEROnly 14 pages are availabe for public view
 |  | from | 216 |  |  |
| | | from | 216 | | |
Abstract
Hepatocellular carcinoma is the commonest primary
liver malignancy. Eighty percent of HCCS arise in patient with
liver cirrhosis especially due to hepatitis B infection the
commonest cause of HCC world wide, hepatitis C infection in
which the lead-time from infection to HCC may be 25 years or
more, alcoholic liver cirrhosis and haemochromatosis.
The pathogenesis of HCC when associated with liver
cirrhosis is related to chronic inflammatory process within the
liver.
The clinical presentation varies depending on the liver
disease, in the presence of liver disease, malignant change, in
the liver may be marked by rapid deterioration and
decompensation with encephalopathy and asictes.
Special investigations for HCC include abdominal
ultrasound, helical CT scan and MRI. Preoperative evaluation
of the functional hepatic reserve is done to decrease the risk of
postoperative liver failure.
Comparison between cases of primary hepatocellular
carcinoma in upper & lower Egypt from first of January 2011
to last of December 2011, we select cases of primary
hepatocellular carcinoma in upper Egypt from clinic of Aswan
oncology society and in lower Egypt from clinic of the
Summary & Conclusion
- 167 -
National Liver Institute of Menofia University where cases of
primary hepatocellular carcinoma are coming for follow-up.