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Flashcards in Hepatobiliary Dx Deck (18):
1

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

2

what is the most common primary cancer of the liver

hcc

3

what is hcc

a malignant epithelial neoplasm of liver composed of cells resembling hepatocytes

4

what is the epidem of hcc

asian americans males blacks 50-60

5

hcc is linked to what?

chronic liver dz especially chronic viral hep

6

how does hcc present

decompnesation of chronic liver dz, with jaundice encephalopathy ascites and bleeding, possibly pain, weight loss diarrhea bone pain dyspnea

7

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

8

What level of alpha fetoproteinis specific for hcc?

greater than 200 mcg/l

9

What is the tx of hcc?

surgery

10

who is more commonly affected by hepatic adenomas?

anabolic steroids, androgenic steroids or estrogenic steroids

11

what is a hepatoblastoma?

rare malignant epithelial neoplasm of liver in children

12

what type of liver cancer is prevalent with alcoholics?

cholangiocarcinoma

13

describe cholangiocarcinomas

malignant epithelial neoplasm with biliary differentiation, arising from cholangiocytes

14

what has a strong association with cholangiocarcinoma?

primary sclerosing cholangitis

15

what is the mechanism of spred in cholangiocarcinoma vs hcc?

cholangiocarcinoma lymph
hcc blood vessels

16

what are common symptoms of extrahepatic cholangiocarcinoma

pruritus, ruq abdom pain, weight loss, fever, jaundic, hepatomegaly and ruq mass

17

when does gallbladder carcinoma typically present

70

18

what are sypmtoms of gallbladder carcinoma

abdo pain jaundice anorexia n/v malaise weight loss ruq mass