Liver Tumors Flashcards
The main risk factor for HCC is cirrhosis and results from :
●chronic infection by HBV or hepatitis C virus (HCV) infection,
●alcohol abuse,
●metabolic syndrome, and
●hemochromatosis
المسببات الأخرى للتليف الكبدي اقل تسببا لسرطان الكبد
•…………………represents 90% of primary liver cancers
HCC
…………and……………is associated with HCC cumulative incidence reduction.
Aspirin
Coffee consumption
Recommended method of surveillance of HCC
Ultrasonography every 6 months, with or without serum α fetoprotein (AFP) levels .
Using contrast-enhanced imaging techniques, the typical hallmark of HCC consists of………………….
This radiologic pattern captures the hypervascular nature characteristic of HCC.
vascular uptake of the nodule in the arterial phase with washout in the portal venous or delayed phases
Noninvasive diagnostic criteria can only be applied to cirrhotic patients and are based on imaging techniques obtained by
Despite these imaging techniques,why Ultrasound follow-up is recommended every 3-4months
four-phase multidetector CT scan
dynamic contrast-enhanced MRI
Due to nodules smaller than 1cm
AFP levels ≥400 ng/dL are
highly suspicious, but not diagnostic, of HCC according to guidelines.
Risk factors
iCCA +pCCA
dCCA
PSC
دویرة لذا سبب دويريگ اراي دوينيمنةو /المشروبات الحلوة
Diagnosis of …………CCA requires pathologic confirmation.
Intrahepatic
MRI has the highest diagnostic accuracy (homogeneous enhancement in the arterial phase with a central scar).
(((Central scar)))
Focal nodular hyperplasia
the main risk factors for hepatic adenoma are ………….in females and use of………….in males
oral contraceptives in females and use of anabolic androgenic steroids in male body builders.
…………….have the potential for hemorrhage and HCC development, particularly when >5 cm.
HCAs
HCA with CTNNB1 mutations (10–20%) are at risk of HCC development and are present in men treated with androgens;
لأن ادينوماس حتما احتمالية ديرد بكةدةي فد سرطان خبيث /بالأخص لة ئةو پياوةيلةي علف خواردنة
٠٠٠٠٠٠٠٠٠٠٠adenomas are more prevalent in females with obesity or diabetes;
Inflammatory
For HCA <5 cm,
1-year follow-up is recommended.