Liver Lesions

Question 0

What should you do for adenoma?

Answer 0

Resect

If less than 4cm, no sx, can watch

Question 1

Hyper vascular, no enhancement, sulfur neg, normal AFP

OCPs

Answer 1

Adenoma

Question 2

Hyper vascular, peripheral to central enhancement

Mc benign

Answer 2

Hemangioma

Question 3

What do for hemangioma?

Answer 3

Nothing unless symptomatic, then enucleate

Question 4

Central stellate scar

Sulfur pos

Answer 4

FNH

Question 5

What should you do for FNH?

Answer 5

Nothing

Question 6

Hyper vascular, elevated AFP, central necrosis

Answer 6

Hepatocellular carcinoma

Question 7

Mc liver malignancy

Answer 7

Met

Question 8

H/o infection, now c ruq pain, abscess on ct. What is it? Tx?

Answer 8

Pyogenic abscess

Abx, perc drain (cover E. coli)

Question 9

Mexico, jaundice, WBC, lft’s up Protozoa on stool cx

Dx?tx?

Answer 9

Amoebic abscess (e histolitica)

Flagyl, no drain

Question 10

Middle East, ruq pain, rash, eosinophilia

Dx? Tx?

Answer 10

Schistosomiasis

Praziquantel

Question 11

Greece/sheep worker, calcified cyst, double wall, casoni skin test

Dx? Tx?

Answer 11

Hydatid/ echinococcal cyst

Albendazole, excise s rupturing