Malignant

Question 1

What does HCC stand for

Answer 1

Hepatocellular Carcinoma

Question 2

HCC is also known as

Answer 2

Hepatoma

Question 3

Occurs 80% in cirrhotic livers

Answer 3

HCC

Question 4

Primary liver tumor

Answer 4

HCC

Question 5

HCC is most common in

Answer 5

Males and African Americans

Question 6

Signs and symptoms of HCC

Answer 6

RUQ pain, palpable mass, weight loss, ascites, fever and maybe jaundice.

Question 7

Labs for HCC

Answer 7

Elevated LFT, AFP, and Bilirubin

Question 8

Considered a silent disease, prognosis of 3-4 months to live

Answer 8

HCC

Question 9

Sono of HCC

Answer 9

Ill-defined w/ variable appearance.
Solitary or multiple
Increased Vascularity

Question 10

Primary origins of liver cancer

Answer 10

Colon, Breast, and Lung are the most common cancers to pass to liver

Question 11

Signs and symptoms of metastatic disease

Answer 11

(Similar to HCC)
Possible mass affecting portal vein causing HTN
Splenomegaly

Question 12

Labs for metastatic disease

Answer 12

Elevated LFT

IF metastasis is large enough

Question 13

Sono for metastasis of liver cancer

Answer 13

Well-defined and hypoechoic - lymphoma
Well-defined and hyperechoic- colon cancer
Mixed echoes, bulls eyes or target appearance

Question 14

Hepatoblastoma

Answer 14

Most common primary malignant tumor in kids under 5

Question 15

Infantile form of HCC

Answer 15

Hepatoblastoma

Question 16

What type of tumor is hepatoblastoma

Answer 16

Germ Cell Tumor

Question 17

Hepatoblastoma is associated with

Answer 17

Beckwith-wiedemann syndrome
Hemihypertrophy
Precocious Puberty

Question 18

Signs and symptoms of hepatoblastoma

Answer 18

Increased girth
Weight loss
N/V
Precocious puberty 
Hepatomegaly

Question 19

Labs and Sono for Hepatoblastoma

Answer 19

Elevated AFP

Sono: Heterogeneous, complex w/ poor margins, maybe calcs and necrosis