Liver Part 3 Flashcards
4 types of malignant hepatic neoplasms
Hepatocellular carcinoma (HCC)
Fibrolamellar carcinoma
Hemangiosarcoma
Hapatic epitheliod hemangioendothelioma
One of the most common malignant tumours
Hepatoma / HCC
Hepatoma/ HCC more common in waht gender
Males
Causes of HCC/hepatoma (4)
Alcoholic cirrhosis
Viral hep B&C
Fatty liver
Toxins
Clinical presentation of HCC often delayed until tumor reaches an
Advanced stage
Symptoms of HCC (3)
RUQ pain
Weight loss
Abdominal swelling with ascites
HCC has invasion of portal vein in ___- ___ % of cases
30-60%
Budd chiari symptom is when
HCC invades hepatic venous system
Sonographic appearance of HCC
Hypoechoic, complex or hyper
Smaller nodules
May have hypoechoic halo
Necrosis and fibrosis may be seen over time
Fibrolamellar carcinoma is subtype of
HCC
Distinguishing character of fibromellar carcinoma
Central echogenic scar
Hemangiosarcomas are (4)
Rare
Seen in older adults
Associated with specific carcinogens
Mis echogenicity mass
Hepatic ecpitheliod (4)
Rare
Occurs in adults
Soft tissues, lungs and liver
Multiple hypoechoic nodules
What does neoplasm mean
Tumour
Common primary tumors resulting in liver metastases are from
GB Colon Stomach Panc Breast Lung
Blood borne routes from metastic liver
Hepatic A, portal vein