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General Surgery > Hepatic Adenoma > Flashcards

Hepatic Adenoma Flashcards

1
Q

What is the defn of a hepatic adenoma?

A

benign proliferation of hepatocytes

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2
Q

Discuss the epidemiology and RFs for hepatic adenoma

A

> F (10:1), young women

RFs: anabolic steroids, oestrogen & progesterone preparation

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3
Q

How does a pt w/ hepatic adenoma present?

A

Asymptomatic vs Symptomatic
Symptomatic -> spontaneous rupture and intra-peritoneal haemorrhage - NB in lesions >5cm
Other sx: abd pain, vague sx of fulness/discomfort in RUQ
Increased risk of malignant transformation

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4
Q

How do you dx a hepatic adenoma?

A

triphasic CT

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5
Q

What is the tx for a hepatic adenoma?

A

Surgical resection

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6
Q

What are the Ix for surgical resection of a hepatic adenoma?

A

lesion > 5cm in diameter
lesion fails to shrink after discontinuation of OCPs
Pt can’t stop OCP w/ HA >5cm

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General Surgery (15 decks)

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