Wk5 Liver Path pt3

Question 1

Most common benign neoplasm of the liver

Answer 1

Hemangioma

Question 2

Congenital dilation of the common bile duct

Answer 2

Choledochal cyst

Question 3

proliferation of all liver parenchymal elements

not malignant

**fibrous scar with stellate configuration

Answer 3

Focal Nodular Hyperplasia

Question 4

Diffuse, nonfibrosing nodular hyperplasia of the liver

associated with compromised intrahepatic bloodflow

Answer 4

Nodular regenerative hyperplasia

Question 5

Well-circumscribed benign neoplasm

well differentiated hepatocytes

young women

oral contraceptives

anabolic steroids

Answer 5

Hepatocellular adenoma

Question 6

grossly: multiple small white nodules
micro: disordered ectatic bile ducts in fibrous stroma

mimics metastatic carcinoma

Answer 6

Bile duct hamartoma

Question 7

Solitary benign proliferation of bile ducts

looks similar to metastatic carcinoma

Answer 7

Bile duct adenoma

Question 8

Most common malignant tumors found in liver

Answer 8

metastases from elsewhere

lung, GI, breast, pancreas are most common

Question 9

Typical American presenting with Hepatocellular carcinoma

Answer 9

over age 60

younger where HBV is endemic

Question 10

Most common risks for HCC

Answer 10

chronic viral hepatitis

toxins

**cirrhosis

Question 11

soft and hemorrhagic tumor

Answer 11

HCC

Question 12

When to suspect HCC

Answer 12

any cirrhotic patient suffering SUDDEN clinical deterioration

**sx may be masked by underlying liver disease

Question 13

alpha-fetoprotein > 200 ng/ml

Answer 13

HCC

Question 14

HCC that occurs predominantly in young adults with cirrhosis or hepatitis

Answer 14

Fibrolamellar Variant of HCC

Question 15

white and hard tumor nodules in the liver

Answer 15

Intrahepatic Cholangiocarcinoma