Liver tumours Flashcards
1
Q
Solid liver lesion in older patient?
A
- malignant?
2
Q
Older patient, liver lesion, in the absence of liver disease?
A
- metastases
3
Q
Solid lesion, in pt with chronic liver disease?
A
- primary liver cancer
4
Q
Non-cirrhotic pt with solid tumour?
A
- haemangioma
5
Q
Haemangioma is diagnosed by?
A
- US ( Echogenic spot, well demarcated)
- CT (Venous enhancement from periphery to centre)
- MRI (High intensity area)
6
Q
FNH stands for?
A
- focal nodular hyperplasia
7
Q
What is the appearance of FNH?
A
- Central scar containing a large artery and radiating
8
Q
Diagnosing FNH?
A
- US (Nodule with varying echogenicity)
- CT (Hypervacular mass with central scar)
9
Q
What is hepatic adenoma?
A
- benign neoplasm composed of normal hepatocytes
- no portal tract, central veins or bile ducts
10
Q
What is associated lesion with contraceptives?
A
- Hepatic adenoma
11
Q
What are consequences of hepatic adenoma?
A
- benign
- may rupture, haemorrhage or malignant transformation (males)
12
Q
Hepatic adenoma diagnosis?
A
- US: filling defect
- MRI: Diffuse arterial enhancement
13
Q
Treatment of hepatic adenoma in males?
A
- surgical excision no matter the size
14
Q
Treatment of hepatic adenoma in females?
A
- > 5cm –> surgical excision
15
Q
Define a simple cyst
A
- liquid collection lined by epithelium
