Focal lesions in the liver Flashcards
What are the examinations for benign liver tumours?
US, CT, MRI, FNA
Which benign hepatic tumour has minimal bleeding risk?
Focal modular hyperplasia
Adenomas have a malignant risk due to ______ mutations and there is also a risk of _________.
oncogene
pain and bleeding
What are the types of cysts in the liver?
Simple
Hydatid
Abscesses
Polycystic liver disease
Von Meyenburg complexes
Autosomal dominant Polycystic Kidney disease
How do simple cysts present?
Usually asymptomatic but there is a risk of compression, hemmorharage, and infection
What should be done for simple cysts?
Imaging in 3-6 months
What are hydatid cysts caused by?
Echinoccocus granulosus
How should hydatid cysts be treated?
Conservative: cystectomy
Radical: lobectomy
Medical: Albendazole
Percutaneous Drainage
Which type of tumour is likely to cause hepatomegaly?
Polycystic liver disease
How is polycystic liver disease treated?
Usually treated to halt cyst growth
Somatostatin analogues
Aspiration
Liver transplantation
What should be done for abscesses?
- echocardiogram
- drainage
- broad spectrum antibiotics
What are some malignant tumours of the liver?
Hepaticellular carcinoma
Fibrolamellar carcinoma
Hepatoblastoma
Metastasis
What are the treatments for malignant liver cancers?
- Transplant for small minimal tumours
- Resection for small tumours with reserved liver function
- TACE for early cirrhosis
- radio frequency ablation, ethanol injection
What is TACE?
Chemotherapy in the hepatic artery
How would hepatocellular carcinoma present?
Weight loss
AFP > 100 ng/ml
RUQ pain
