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Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care

Shalihin, Mohd Shaiful Ehsan and Mukhali, Hassan Basri and Nik Anuar, Nik MohdNurhafizi and Mohd, Zailani and Anuar, N Aiman (2018) Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care. In: 21st Family Medicine Scientific Conference 2018, 2nd-4th August 2018, Ipoh Convention Center, Perak. (Unpublished)

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Abstract

As primary care providers, it is part of our routine job scope to review laboratory result of patient come for medical screening or chronic disease follow up. It is quite common to receive a medical report of mildly deranged liver enzymes that most of us tend to treat conservatively in low risk and asymptomatic patients. The dilemma is how mildly elevated is considered mild and safe. Indeed, a further assessment is still required. We report a case of a focal nodular hyperplasia in a 31-year-old gentleman who is clinically asymptomatic, with isolated mildly elevated alkaline phosphatase (ALP). He benefited an ultrasound liver which showed dilated common bile duct. Subsequent CT scan favors diagnosis of fibrolamellar carcinoma and he was managed well with surgical intervention. We would like to report a case of liver tumor detected at a primary care clinic based on an incidental finding of mildly elevated ALP.

Item Type: Conference or Workshop Item (Poster)
Additional Information: 6934/65396
Uncontrolled Keywords: Alkaline Phosphatase (ALP), tumor hnt, primary care
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine
Depositing User: Dr Mohd Shaiful Ehsan Shalihin
Date Deposited: 05 Sep 2018 15:09
Last Modified: 05 Sep 2018 15:09
URI: http://irep.iium.edu.my/id/eprint/65396

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