Tumors of the liver and biliary tree Flashcards
1
Q
hepatocellular carcinoma
- sex predominance?
- major cause in the US vs OUS?
- other etiology?
A
- male or >40
- alcohol vs HepC
- hemochromatosis, Wilsons, T2 Diabetes, HBV…
2
Q
Types of HCC?
A
solitary
diffuse
fibrolamella
adenoma (benign)
3
Q
Primary hepatic tumor types:
A
- hepatocellular
- cholangiocarcinoma
- hepatoblastoma
4
Q
primary hepatic tumors- clinical manifestations/symptoms:
A
- WL
- weakness
- abdominal pain/mass
- portan HTN
- jaundice
- ascites
- bleeding
- fever
- hepatomegally***
5
Q
primary hepatic tumors - diagnostics:
A
- liver function tests
- alpha feto proteins
- ultra sounds
- MRI
- computer tomography-hypervasculairy with washout
- MRI
- nuclide scanning
6
Q
Primary hepatic tumors treatment options?
A
- surgical removal
- liver transplant
- cryoablation
- radiation therapy
- etc
7
Q
Hepatoma expectancy?
-resection
transplant?
A
- 27-32% ish
- 40-75%
8
Q
Hepatoblastoma survival less than 2yo?
A
90+%
poor if in adult
9
Q
Just read notepool stuff…
A
Just read notepool stuf
10
Q
risk factors for cholangiocarcinoma?
A
- PSC
- liver fluke
- congenital liver malformation
11
Q
most common locatio n for cholangiocarcinoma?
A
junction of right and left hepatic ducts
12
Q
choangiocarcinomas are what kind of cancer?
A
adenocarcinoma
13
Q
presentation of cholangiocarcinoma?
A
- painless jaundice
- itching
14
Q
What is the name/test for a palpable gallbladder?
A
-courvoisiers sign
15
Q
Cholangiocarcinoma lab/markers?
A
- carcinoembryonic antigen
- CA 19-9
