Dr. Ayman Ali

Question 1

symptoms of benign liver tumors

Answer 1

occlut pain
upset in the epigastric region
early filling while eating
alteration in the defecation process
edemas in the lower limps

Question 2

what are the conditions which let us to performe a liver biopsy

Answer 2

skillful hand
deep tumor in the liver
no surgical fissure

Question 3

what are the indications and contraindications of the Hemangioma ressection in liver

Answer 3

ind: sever symptoms & complications
contraindications: large size is not sufficient alone & high rate of enlargement also is not sufficient alone

Question 4

how to diagnose Hemangioma in the liver

Answer 4

echo
Ct-scan
MRI
T99-Rbcs
Angiography (to facilitate the surgery not to diagnose)

Question 5

what are the risk factors of Hepatocellular Adenoma( not carcinoma)

Answer 5

Acromegaly
Hemocromatosis
Glycogene storage disorders
DM
high estrogene concentration (pregnancy)

Question 6

what are the radiological aspects of FNH

Answer 6

less than 2cm
central scar
feeding artery
center —-> no uptake of the obaque substance
periphery——> it dose uptake the obaque substance

Question 7

when do we suspect a transformation in the Hepatic adenoma

Answer 7

either elevated AFP or nodule inside another one in the radioimagine techniques
Note:
the later is more effective than the former cz it can give us a reliable results before the AFP elevates

Question 8

what is the syndrome resulted from large Hemangiomas

Answer 8

Kazabach-meret:
thrombocytopenia due to diffused thrombosis espicially inside the lumen of the Hemangiomas with DIC(تخثر منتشر داخل الأوعية)

Question 9

اخذ المادة الضليلة على ال ct-scan او MRI يشير إلى

Answer 9

ورم عصبي غدي
ميلانوما
ساركوما
ورم كظري
ورم درق