Liver tumors

Question 1

Most common malignant and benign tumors of the liver?

Answer 1

Hepatocellular carcinoma and hemangioma

Question 2

Define hemangioma, symptoms, diagnosis, and treatment. Do you biopsy?

Answer 2

Benign vascular tumor of the liver
Symptoms: asymptomatic, mass
Diagnosis: incidental finding on imaging, US/CT/MRI, tagged RBCs. DO NOT BIOPSY due to risk of bleeding.
Treatment: observe. Surgical resection only if symptomatic or risk of impending rupture

Question 3

What is kasabach Merritt syndrome

Answer 3

Liver hemangioma and thrombocytopenia with risk of bleeding

Question 4

Hepatocellular adenoma define, risk factor, symptoms, diagnosis, risk, treatment

Answer 4

Benign tumor of liver consisting of hepatocytes without bile ducts
RF females taking OCP
Symptoms: RUQ pain and mass
Diagnosis: CT/US with or without biopsy
Risk of becoming malignant
Treatment: stop OCP and surgical resect

Question 5

Define focal nodular hyperplasia, risks, symptoms, diagnosis, treatment

Answer 5

Benign liver tumor consisting of hepatocytes and bile ducts
RF associated with OCP but less than adenoma
Symptoms: asymptomatic, RUQ pain/mass
Diagnosis: US, CT shows liver mass with central scar
Risks NOT ASSOCIATED with malignancy
Treatment stop OCP, resect if symptomatic

Question 6

Hepatocellular carcinoma define, RFs, symptoms, diagnosis, treatment

Answer 6

Most common malignant tumor of liver.
RF: hep B,C, cirrhosis, alcohol, smoking, aflatoxins
Symptoms: RUQ pain, hepatomegaly, jaundice, weight loss, ascites
Diagnosis: high AST,ALT,GGT,ALP, AFP (normal in 50%). US, CT, biopsy
Treatment: surgical resection, liver transplant, intra arterial chemotherapy