Liver Part 3 Flashcards

1
Q

4 types of malignant hepatic neoplasms

A

Hepatocellular carcinoma (HCC)
Fibrolamellar carcinoma
Hemangiosarcoma
Hapatic epitheliod hemangioendothelioma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

One of the most common malignant tumours

A

Hepatoma / HCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hepatoma/ HCC more common in waht gender

A

Males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Causes of HCC/hepatoma (4)

A

Alcoholic cirrhosis
Viral hep B&C
Fatty liver
Toxins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Clinical presentation of HCC often delayed until tumor reaches an

A

Advanced stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Symptoms of HCC (3)

A

RUQ pain
Weight loss
Abdominal swelling with ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HCC has invasion of portal vein in ___- ___ % of cases

A

30-60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Budd chiari symptom is when

A

HCC invades hepatic venous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sonographic appearance of HCC

A

Hypoechoic, complex or hyper
Smaller nodules
May have hypoechoic halo
Necrosis and fibrosis may be seen over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Fibrolamellar carcinoma is subtype of

A

HCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Distinguishing character of fibromellar carcinoma

A

Central echogenic scar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hemangiosarcomas are (4)

A

Rare
Seen in older adults
Associated with specific carcinogens
Mis echogenicity mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hepatic ecpitheliod (4)

A

Rare
Occurs in adults
Soft tissues, lungs and liver
Multiple hypoechoic nodules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does neoplasm mean

A

Tumour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Common primary tumors resulting in liver metastases are from

A
GB 
Colon 
Stomach 
Panc 
Breast
Lung
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Blood borne routes from metastic liver

A

Hepatic A, portal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lymphatic spread of metastic liver disease

A

Stomach,
Panc
Ovary
Uterus

18
Q

Tumor cells from the GI tract are drain through

A

Portal system to the liver

19
Q

Mets are

A

Single or multifocal liver lesions with identical sonographic morphology

20
Q

Mets wit hhypoechoic halo strongly signs _______

A

Malignancy

21
Q

Common echogenic patterns of metastic disease (7)

A
Gi tract 
HCC 
vascular primaries 
Islet cell carcinoma 
Carcinoid 
Choriocarcinoma 
Renal cell carcinoma
22
Q

commmon Hypoechoic patterns of metastatic disease (6)

A
Breast 
Lung 
Lymphoma 
Esophagus 
Stomach 
Pancreas
23
Q

Echogenic metastatic disease tends to arise from ____ or ______

A

GI tract or HCC

24
Q

Echogenic metastatic disease is generally _____vascular

A

Hypervascular

25
Q

Echogenic metastatic disease may mimic ________ on sonography

A

Hemangioma

26
Q

Hypoechoic metastatic disease generally is ______vascular

A

Hypovascular

27
Q

Bulls eye or target is typically seen with

A

Lung cancer

28
Q

Bulls eye or target appearance is

A

Hypoechoic peripheral halo

Nonspecific and common appearance

29
Q

5 calcified metastases

A
Mucinous adenocarcinoma 
Osteogenic sarcoma 
Chondrosarcoma
Tetratocarcinoma 
Neuroblastoma
30
Q

Shadowing in the liver is most often due to

A

Calcifications
Air
Stones
Fat containing legions

31
Q

Clean shadow is causesd by

A

Calcifications

32
Q

Dirty shadow caused by

A

Air

33
Q

What is the most common cause of a calcified liver tumour

A

Metastases

34
Q

3 cystic metastases (mets)

A

Necrosis- sarcomas
Cystadenocarcinoma of ovary and panc
Mucinous carcinoma of colon

35
Q

Are cystic metastases distinguishable from simple cysts

A

Yes

36
Q

Character traits of cystic metastases (4)

A

Mural nodules
Thick walls
Internal septations
Extensive necrosis

37
Q

Infiltrative mets are seen with (3)

A

Breast
Lung
Malignant melanoma

38
Q

Infiltrative metastatic disease diffuse disorganization of

A

Parenchyma

39
Q

Infiltrative metastatic disease is easy or hard to seen on US

A

Hard

40
Q

Infiltrative metastatic disease can be confused with

A

Cirrhosis or fatty liver