Liver Masses

Question 1

Focal nodular hyperplasia

Answer 1

Central stellate scar
Can present with Hepatocellular CA

Question 2

What liver mass is assoc with glycogen storage ds

Answer 2

Hepatic adenoma

Question 3

Mesenchymal hamartoma

Answer 3

Multiple echogenic cysts
May have increase AFP
Small risk of change to embryonal sarcoma

Question 4

Hepatic hemangioma presentation

Answer 4

> = 5 cutaneous hemangioma
Hypothyroidism
Kasabach Merritt (thrombocytopenia coagulopathy)
Anemia
High output cardiac failure

Question 5

Hepatoblastoma risk factors

Answer 5

FAP
Beck with-wiedemann
Tyrosinemia and glycogen storage ds
Low birth weight (<1000 g)
Cigarette smoking

Question 6

Heptatoblastlma imaging

Answer 6

Low attentuated mass with or without discrete calcifications

Question 7

HCC associated with

Answer 7

Biliary atresia
Fanconi syndrome
OTC
Androgenic steroids
Methotrexate

Question 8

Tumors with elevated AFP

Answer 8

Mesencymal hamartoma
Hepatoblastoma
HCC

Question 9

HCC presentation

Answer 9

Precocious puberty, due to production of human beta chorionic gonadotropin, or testosterone

Question 10

HCC imaging

Answer 10

Areas of arterial phase, hyper enhancement , with rapid washout on delayed phase imaging