[Verse 1]
The liver's a quiet warehouse, stacking poisons out of sight,
Scarred by hepatitis B or C, by vodka or a fatty night,
Cirrhosis builds in silence, insidious — that means creeping, slow,
A whisper turns to tumor long before the patient's set to know.
[Chorus]
Mírame, hígado, dime la verdad,
Arterial bright, then washout — that's the LI-RADS key,
No necesitamos biopsia, ya lo ves,
Uno tumor, cinco centímetros, o tres nódulos de tres,
Milan criteria, sin invasión vascular — that's the decree.
[Verse 2]
Child-Pugh counts your bilirubin, your albumin, fluid in the belly,
MELD score spins the numbers into a story the surgeons can tell me,
Liver reserve decides the road — cut it, swap it, burn it clean,
Resection, transplant, or ablation, TACE, or a slow IV stream.
[Chorus]
Mírame, hígado, dime la verdad,
Arterial bright, then washout — that's the LI-RADS key,
No necesitamos biopsia, ya lo ves,
Uno tumor, cinco centímetros, o tres nódulos de tres,
Milan criteria, sin invasión vascular — that's the decree.
[Verse 3]
Now travel up the plumbing where two bile ducts collide,
A Klatskin tumor squats right there, the hilum is his hide,
Bismuth-Corlette draws the map of how far he likes to creep,
Primary sclerosing cholangitis waters the seeds he keeps.
[Bridge]
Sorpresa — the gallbladder you bagged just last week
Comes back from pathology with a word you didn't seek,
Unless it's only T1a, sleeping shallow, barely there,
Vuelve al quirófano — clear the liver bed and nodes with care.
[Verse 4]
One tumor, five centimeters — the transplant list says yes,
Three tumors, three centimeters — still passing Milan's test,
But one vein invaded closes every door you tried,
So scan it, score it, stage it well before you cut inside.
[Chorus]
Mírame, hígado, dime la verdad,
Arterial bright, then washout — that's the LI-RADS key,
No necesitamos biopsia, ya lo ves,
Uno tumor, cinco centímetros, o tres nódulos de tres,
Milan criteria, sin invasión vascular — that's the decree.
[Verse 5]
Fibrolamellar hides in livers young and clean, no cirrhosis in its name,
Central scar, radiating septa — a different kind of flame,
Hepatic adenoma loves the pill, the estrogen's quiet grace,
Beta-catenin mutations push it toward a darker place,
Focal nodular hyperplasia wears a scar that's all benign,
A hepatobiliary tracer tells the two apart, line by line,
Pedunculated or embedded, size and number set the plan,
Watch it, biopsy it, resect it — know it well before you scan.
[Bridge 2]
Portal vein embolization grows the future lobe you'll spare,
Two-stage hepatectomy splits the danger with the care,
Hanging maneuver, Pringle's clamp, the bleeding kept at bay,
Every millimeter margin matters more than words can say.
[Outro]
Hígado, duct, and gallbladder too,
Cirrhosis, Klatskin, Milan — now it's carved in you,
Insidious no more, mi amor, the pathway's clear and clean,
Cada tumor cuenta su historia — read it on the screen.