Hepatobiliary Dx Flashcards

1
Q

What is the worst possible way to remember the most common places that met to the liver?

A

cancer sometimes penetrates benign liver

colon, stomach, breat pancreas lung

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2
Q

what is the most common primary cancer of the liver

A

hcc

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3
Q

what is hcc

A

a malignant epithelial neoplasm of liver composed of cells resembling hepatocytes

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4
Q

what is the epidem of hcc

A

asian americans males blacks 50-60

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5
Q

hcc is linked to what?

A

chronic liver dz especially chronic viral hep

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6
Q

how does hcc present

A

decompnesation of chronic liver dz, with jaundice encephalopathy ascites and bleeding, possibly pain, weight loss diarrhea bone pain dyspnea

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7
Q

what is alpha fetoprotein

A

greater than 20 mcg/L in 60% of pts with hcc, but also elevated with acute or chronic liver injury, gonadal tumor, pregnancy some gastric cancers

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8
Q

What level of alpha fetoproteinis specific for hcc?

A

greater than 200 mcg/l

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9
Q

What is the tx of hcc?

A

surgery

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10
Q

who is more commonly affected by hepatic adenomas?

A

anabolic steroids, androgenic steroids or estrogenic steroids

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11
Q

what is a hepatoblastoma?

A

rare malignant epithelial neoplasm of liver in children

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12
Q

what type of liver cancer is prevalent with alcoholics?

A

cholangiocarcinoma

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13
Q

describe cholangiocarcinomas

A

malignant epithelial neoplasm with biliary differentiation, arising from cholangiocytes

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14
Q

what has a strong association with cholangiocarcinoma?

A

primary sclerosing cholangitis

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15
Q

what is the mechanism of spred in cholangiocarcinoma vs hcc?

A

cholangiocarcinoma lymph

hcc blood vessels

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16
Q

what are common symptoms of extrahepatic cholangiocarcinoma

A

pruritus, ruq abdom pain, weight loss, fever, jaundic, hepatomegaly and ruq mass

17
Q

when does gallbladder carcinoma typically present

A

70

18
Q

what are sypmtoms of gallbladder carcinoma

A

abdo pain jaundice anorexia n/v malaise weight loss ruq mass