Liver tumours Flashcards
Solid liver lesion in older patient?
- malignant?
Older patient, liver lesion, in the absence of liver disease?
- metastases
Solid lesion, in pt with chronic liver disease?
- primary liver cancer
Non-cirrhotic pt with solid tumour?
- haemangioma
Haemangioma is diagnosed by?
- US ( Echogenic spot, well demarcated)
- CT (Venous enhancement from periphery to centre)
- MRI (High intensity area)
FNH stands for?
- focal nodular hyperplasia
What is the appearance of FNH?
- Central scar containing a large artery and radiating
Diagnosing FNH?
- US (Nodule with varying echogenicity)
- CT (Hypervacular mass with central scar)
What is hepatic adenoma?
- benign neoplasm composed of normal hepatocytes
- no portal tract, central veins or bile ducts
What is associated lesion with contraceptives?
- Hepatic adenoma
What are consequences of hepatic adenoma?
- benign
- may rupture, haemorrhage or malignant transformation (males)
Hepatic adenoma diagnosis?
- US: filling defect
- MRI: Diffuse arterial enhancement
Treatment of hepatic adenoma in males?
- surgical excision no matter the size
Treatment of hepatic adenoma in females?
- > 5cm –> surgical excision
Define a simple cyst
- liquid collection lined by epithelium
Echinococcus granulosus?
- hydatid cyst
Treatment of plycystic liver disease?
- reduce growth
- invasive treatment may be required
- benign
Presenting history of pt with liver access?
- fever
- abdo pain
- dental procedure
Management of liver abscess?
- antibiotics
- aspiration
- echocardiogram
- operation
Hepatocellular carcinoma is more common in?
- males
Hepatocellular carcinoma symptoms may include?
- wt loss
- RUQ pain
- acute liver failure
What test is specific for HCC?
- AFP
- will be >100ng/ml –> HCC
Management of HCC?
- Resection
- liver transplant
- radio frequency ablation
