Lesson 1.1 (Part 2) - Benign Tumours Flashcards

1
Q

Benign hepatic neoplasms (7)

A
Granulomas
Hamartomas
Cysts
Cavernous hemangioma
FNH-focal nodular hyperplasia
Adenomas
Fatty tumours
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2
Q

What appears as calcification within the liver parenchyma?

A

Liver granulomas

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3
Q

T/F

liver granulomas are asymptomatic

A

true

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4
Q

What may liver granulomas be related to?

A

Scarring or infection

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5
Q

Hamartomas visualized as

A

small, focal, solid, hypoechoic

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6
Q

Which benign tumour is often confused with metastatic disease?

A

Hamartomas

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7
Q

Appearance of benign liver cysts

A

Fluid filled space, epithelial lining

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8
Q

What may happen to a benign liver cyst? What are the symptoms?

A

It may hemorrhage (escape of fluid) or become infected

Pain and fever

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9
Q

What may accompany a liver cyst?

A

Abscess

Septations

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10
Q

T/F

cysts with epithelial lining will recur if drained

A

True

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11
Q

What type of cysts are inherited?

A

Polycystic kidney disease

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12
Q

Are LFTs generally normal or abnormal with liver cysts?

A

Normal

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13
Q

If liver cyst with abnormal LFTs, what complications may arise?

A

Tumour
Infection
Biliary obstruction

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14
Q

T/F liver cysts are seen in more the half the population

A

True (60-75%)

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15
Q

What is the most common benign tumour?

A

Cavernous hemangioma

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16
Q

T/F males present with cavernous hemangioma more than females

17
Q

Typical visualization of cavernous hemangioma

A

Small
Homogenous
Hyperechoic-tangle of tiny blood vessels
Well circumscribed

18
Q

Vascularity of cavernous hemangioma

A

extremely low blood flow

19
Q

What is the second most commonly seen benign liver tumour and is it more common in men or women

A

Focal nodular hyperplasia, more common in women

20
Q

What benign tumour is vascular and has a spoke wheel pattern?

A

Focal nodular hyperplasia

21
Q

What benign liver tumours are influenced by oral contraception (2)

A

Focal nodular hyperplasia

Hepatic adenoma

22
Q

Which benign tumour is isoechoic

A

Focal nodular hyperplasia

23
Q

What benign liver tumours are highly vascular (2)

A

Focal nodular hyperplasia

Hepatic adenoma

24
Q

What benign liver tumours are more common in women?

A

Cavernous hemangioma (5:1)
Focal nodular hyperplasia
Hepatic adenoma

25
What benign liver tumour is symptomatic? Whats the symptom?
Hepatic adenoma RUQ mass and pain (caused by lesion bleeding)
26
T/F | FNH is seen more commonly than hepatic adenoma
true
27
T/F Hepatic adenoma is at risk of malignant degeneration
True
28
Sonographic appearance of hepatic adenomas
Heterogenous Multiple feeding hepatic arteries supply adenoma from periphery Capsule
29
Which benign liver tumour exhibits a central hepatic artery
FNH
30
What is a classic sign of a fatty tumour
Broken diaphragm - sound travels through fat faster
31
Fatty tumours are hypoechoic or echogenic
Echogenic
32
What is a fatty tumour indistinguishable from on US
hemangioma mets focal fat
33
What is the rarest benign tumour
fatty tumour