Liver tumours Flashcards
Haemangioma - what is it? who gets it?
Commonest benign liver tumour
Females
Haemangioma - pathology
Single
Small
Well demarcated capsule
Haemangioma investigations
US - echogenic spot
CT
MRI
Haemangioma - management
None needed
Focal nodular hyperplasia - what is it? who gets it?
Benign nodule formation of normal liver tissue
Young and middle aged females
Focal nodular hyperplasia - pathology
Central scar containing a large artery
Focal nodular hyperplasia - investigations
US
CT
MRI
Focal nodular hyperplasia - management
None needed
Hepatic adenoma - what is it? who gets it?
Associated with contraceptive pill and anabolic steroids
Females
Hepatic adenoma - pathology
Benign neoplasm formed of normal hepatocytes
Hepatic adenoma - investigations
US
CT
MRI
Hepatic adenoma - management
Stop the pill
Weight less
Simple cyst - what is it?
Benign
Liquid collection lined by epithelium
Simple cyst - management
If symptomatic then refer for surgery
Hyatid cyst - investigations
anti-echococcus antibody
Hyatid cyst - management
Surgery
Liver abscess - clinical presentation
Swinging fever
Abdominal pain
Infection
Liver abscess - management
Broad spectrum antibiotics
Aspiration or drainage
Hepatocellular carcinoma - what is it? who gets it?
Most common malignant liver cancer
Males
Hepatocellular carcinoma - causes?
Cirrhosis, viral hepatitis
Hepatocellular carcinoma - clinical presentation
Weight loss RUQ pain Worsening of ongoing chronic liver disease Signs of cirrhosis Enlarged RUQ mass Liver bruit
Hepatocellular carcinoma - investigations
Increased AFP US CT MRI Biopsy
Hepatocellular carcinoma - management
Resection
Transplant
Local ablation
TACE
Fibrolamellar carcinoma - age group
Young (5-35)
Fibrolamellar carcinoma - investigations
CT - stellate scar
AFP normal
