About this historical patient account: The information below describes reported observations from one case. It does not establish treatment efficacy, safety, a causal relationship or an expected outcome. Outcomes vary, and reported improvement does not demonstrate cure. Do not change prescribed medicines or delay established care based on this account.

Patient Information:

• Name: EL Hadj
• Diagnosis: Metastatic Liver Cancer (with Hepatitis B history)
• Date of Birth (D.O.B): December 31, 1968
• Gender: Male
• Country: Mauritania

Treatment: PD-1 Immunotherapy combined with Traditional Chinese Medicine (TCM) at Beijing Puhua International Hospital

Medical Condition before Anti-Cancer Treatment for Liver Cancer:

EL Hadj is a 47-year-old male who presented with:

• Abdominal pain for the past 9 months
• Lower limb edema for the past 2 months
• Hepatitis B history for the past 4 years
• Widespread metastatic liver cancer diagnosed 9 months ago
• Metastasis to the right femoral neck with pathological fracture of the right femur (treated with nail internal fixation)
• Abdominal distension (abdominal circumference: 84 cm), weak bowel sounds, and dullness upon percussion throughout the body
• Tenderness and pressing pain in the right upper abdomen; liver's inferior margin palpable 10 cm below the xiphoid process
• A fist-sized mass detected in the midline of the right upper abdomen
• Persistent abdominal pain despite taking analgesics (Acesodyne)

Medical Condition after Anti-Cancer Treatment for Liver Cancer:

Following a 2-week course of PD-1 immunotherapy combined with Traditional Chinese Medicine, EL Hadj's general condition showed significant improvement:

• Appetite improved notably
• Abdominal pain significantly reduced compared to his pre-treatment state