Liver tumours Flashcards

1
Q

Haemangioma - what is it? who gets it?

A

Commonest benign liver tumour

Females

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2
Q

Haemangioma - pathology

A

Single
Small
Well demarcated capsule

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3
Q

Haemangioma investigations

A

US - echogenic spot
CT
MRI

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4
Q

Haemangioma - management

A

None needed

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5
Q

Focal nodular hyperplasia - what is it? who gets it?

A

Benign nodule formation of normal liver tissue

Young and middle aged females

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6
Q

Focal nodular hyperplasia - pathology

A

Central scar containing a large artery

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7
Q

Focal nodular hyperplasia - investigations

A

US
CT
MRI

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8
Q

Focal nodular hyperplasia - management

A

None needed

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9
Q

Hepatic adenoma - what is it? who gets it?

A

Associated with contraceptive pill and anabolic steroids

Females

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10
Q

Hepatic adenoma - pathology

A

Benign neoplasm formed of normal hepatocytes

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11
Q

Hepatic adenoma - investigations

A

US
CT
MRI

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12
Q

Hepatic adenoma - management

A

Stop the pill

Weight less

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13
Q

Simple cyst - what is it?

A

Benign

Liquid collection lined by epithelium

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14
Q

Simple cyst - management

A

If symptomatic then refer for surgery

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15
Q

Hyatid cyst - investigations

A

anti-echococcus antibody

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16
Q

Hyatid cyst - management

A

Surgery

17
Q

Liver abscess - clinical presentation

A

Swinging fever
Abdominal pain
Infection

18
Q

Liver abscess - management

A

Broad spectrum antibiotics

Aspiration or drainage

19
Q

Hepatocellular carcinoma - what is it? who gets it?

A

Most common malignant liver cancer

Males

20
Q

Hepatocellular carcinoma - causes?

A

Cirrhosis, viral hepatitis

21
Q

Hepatocellular carcinoma - clinical presentation

A
Weight loss
RUQ pain 
Worsening of ongoing chronic liver disease 
Signs of cirrhosis 
Enlarged RUQ mass 
Liver bruit
22
Q

Hepatocellular carcinoma - investigations

A
Increased AFP 
US
CT 
MRI 
Biopsy
23
Q

Hepatocellular carcinoma - management

A

Resection
Transplant
Local ablation
TACE

24
Q

Fibrolamellar carcinoma - age group

A

Young (5-35)

25
Q

Fibrolamellar carcinoma - investigations

A

CT - stellate scar

AFP normal