62. Other liver tumors

Question 1

Liver tumor that biopsy is contraindicated ( and why )

Answer 1

cavernous hemangioma —> risk of hemorrhage metstasis

Question 2

cavernous hemangioma - frequency / behavior / epidimiology

Answer 2

common , benign liver tumor typically occurs at 30-50 ( NO BIOPSY –> hemorrhage)

Question 3

liver angiosarcoma - definition / risk factors

Answer 3

mallignant tumor of endothelial origin asociated with arsenic, vinyl chloride

Question 4

hepatic adenoma - definition/ risk factors

Answer 4

rare, benign liver tumor, often related to oral contraceptive or anabolic steroid use

Question 5

Hepatic adenoma - course

Answer 5

may regress spontaneously or rupture ( abdominal pain and shock)

Question 6

• Under what circumstances would a liver biopsy for a patient with a liver tumor be contraindicated?

Answer 6

If the tumor is thought to be a cavernous hemangioma due to potential aspiration causing a life-threatening hemorrhage

Question 7

• A patient on oral contraceptives is discovered to have a benign liver tumor. What is she most likely to have?

Answer 7

Hepatic adenoma

Question 8

• A patient often works with arsenic and polyvinyl chloride. He is found to have a malignant liver tumor. What liver tumor do you suspect?

Answer 8

Angiosarcoma

Question 9

• A patient on anabolic steroids has a benign liver tumor. What are two outcomes for this tumor?

Answer 9

The tumor (a hepatic adenoma) either can regress spontaneously or can rupture, causing abdominal pain or shock

Question 10

• A woman has a liver mass seen on ultrasound, and you are concerned that this could be a metastasis from a malignancy of which organs?

Answer 10

GI, lung, and breast tumors (metastases are the most common liver tumors)