Hepatobiliary Dx Flashcards
What is the worst possible way to remember the most common places that met to the liver?
cancer sometimes penetrates benign liver
colon, stomach, breat pancreas lung
what is the most common primary cancer of the liver
hcc
what is hcc
a malignant epithelial neoplasm of liver composed of cells resembling hepatocytes
what is the epidem of hcc
asian americans males blacks 50-60
hcc is linked to what?
chronic liver dz especially chronic viral hep
how does hcc present
decompnesation of chronic liver dz, with jaundice encephalopathy ascites and bleeding, possibly pain, weight loss diarrhea bone pain dyspnea
what is alpha fetoprotein
greater than 20 mcg/L in 60% of pts with hcc, but also elevated with acute or chronic liver injury, gonadal tumor, pregnancy some gastric cancers
What level of alpha fetoproteinis specific for hcc?
greater than 200 mcg/l
What is the tx of hcc?
surgery
who is more commonly affected by hepatic adenomas?
anabolic steroids, androgenic steroids or estrogenic steroids
what is a hepatoblastoma?
rare malignant epithelial neoplasm of liver in children
what type of liver cancer is prevalent with alcoholics?
cholangiocarcinoma
describe cholangiocarcinomas
malignant epithelial neoplasm with biliary differentiation, arising from cholangiocytes
what has a strong association with cholangiocarcinoma?
primary sclerosing cholangitis
what is the mechanism of spred in cholangiocarcinoma vs hcc?
cholangiocarcinoma lymph
hcc blood vessels
