Bengin Liver Disease

Question 1

List types of benign liver disease

Answer 1

Question 2

Common solid lesion is

Answer 2

Hemangioma

Question 3

Common cystic lesion

Answer 3

Hydatid cyst

Question 4

Diagnosis of liver cell adenoma

Answer 4

• Physical exam is usually unrevealing
• tumor markers are normal
• CT usually demonstrates a well-circumscribed
  heterogenous mass that shows early
  enhancement during the arterial phase.
• MRI scans, have specifc imaging characteristics,
  including a well-demarcated heterogenous mass
  containing fat or hemorrhage

Question 5

Two major risks of Adenoma

Answer 5

The two major risks are rupture (with potentially life-
threatening intraperitoneal hemorrhage) and malignant transformation.

Question 6

Patients with asymptomatic adenoma who take OCPs can be watched for regression after?

Answer 6

stopping the OCPs

Question 7

2nd common benign tumor of the liver

Answer 7

Focal Nodular Hyperplasia

Question 8

FNH mass is characterized by

Answer 8

a central fbrous scar with radiating septa, although no central scar is seen in about 15% of cases

Question 9

Diagnosis of FNH

Answer 9

• Physical examination is usually unrevealing
• CT and MRI (homogeneous mass with a central scar that rapidly enhances during the arterial phase of contrast administration.
• Rupture, bleeding, and infarction are exceedingly
  rare, and malignant degeneration of FNH has never
  been reported
• Patients with persistent symptomatic FNH or an
  enlarging mass need to be considered for resection.

Question 10

Symptoms of hemangioma

Answer 10

• Most are asymptomatic and incidentally found on
  imaging studies.
• Symptoms cause vague upper abdominal
• Spontaneous rupture of liver hemangiomas is
  exceedingly rare. An associated syndrome of
  thrombocytopenia and consumptive coagulopathy known as Kasabach-Merritt syndrome is rare but well described

Question 11

Diagnosis of hemangioma

Answer 11

• CT and MRI (peripheral nodular enhancement pattern is seen.
• Labeled red blood cell scans are an accurate test but are rarely necessary if high-quality CT and MRI are available

Question 12

Treatment of hemangioma

Answer 12

An asymptomatic (observation

Sugical enucleation indicated in
- Symptomatic(resection
- Rupture
- change in size
- development of the Kasabach-Merritt syndrome
- In rare cases of diagnostic uncertainty