Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
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...
| Main Authors: | , , , , |
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| Format: | Proceeding Paper |
| Language: | English English |
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2018
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| Online Access: | http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf |
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| author | Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman |
| author_facet | Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman |
| author_sort | Shalihin, Mohd Shaiful Ehsan |
| building | IIUM Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T17:08:09Z |
| format | Proceeding Paper |
| id | iium-65396 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:08:09Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-653962018-09-05T07:09:52Z http://irep.iium.edu.my/65396/ Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman R Medicine (General) RA Public aspects of medicine RD Surgery 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. 2018-08-03 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf application/pdf en http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf 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) http://www.fmsconference.net/2018/ |
| spellingShingle | R Medicine (General) RA Public aspects of medicine RD Surgery Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title | Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title_full | Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title_fullStr | Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title_full_unstemmed | Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title_short | Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care |
| title_sort | isolated mildly elevated alkaline phosphatase (alp) - a liver tumor hint not to be missed at primary care |
| topic | R Medicine (General) RA Public aspects of medicine RD Surgery |
| url | http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf |