Liver lesions Flashcards
What are some benign liver lesions? 5
Haemangioma- v common Liver cell adenoma Abscess Amoebic abscess Hyatid cysts
What are the risk factors for liver cell adenoma?
Middle aged women
OCP
What is a predisposing factor for a liver abscess?
Biliary sepsis
What is the presentation of a liver abscess?
Fever, jaundice, RUQ pain
What is the management of a liver abscess?
Drainage and antibiotics
What is the presentation of an amoebic liver abscess?
Fever, RUQ pain
Foreign travel
What is the management of an amoebic liver abscess?
Metronidazole
What are the types of malignant liver lesion?
95% metastatic Primary -hepatocellular carcinoma= 75% -cholangiocarcinoma -hepatoblastoma -lymphoma
What are the risk factors for hepatocellular carcinoma?
Cirrhosis
Hep B- worldwide
Hep C- UK
Chronic heavy alcohol use
What is the presentation of hepatocellular carcinoma?
Abdo distension
RUQ pain
Jaundice
Systemic symptoms
How is heoatcellular carcinoma diagnosed?
US surveillance of those with cirrhosis
CT/MRI
Rare= biopsy
What is the curative management of hepatocellular carcinoma?
Resection
Transplant
What are the treatment options for hepatocellular carcinoma?
Chemo
Local- alcohol injection, radio frequency ablation
Hormone therapy
What is the prognosis in hepatocellular carcinoma?
Poor
15% survival at 5 years
