Liver Tumors

Question 1

The main risk factor for HCC is cirrhosis and results from :

Answer 1

●chronic infection by HBV or hepatitis C virus (HCV) infection,
●alcohol abuse,
●metabolic syndrome, and
●hemochromatosis

المسببات الأخرى للتليف الكبدي اقل تسببا لسرطان الكبد

Question 2

•…………………represents 90% of primary liver cancers

Answer 2

HCC

Question 3

…………and……………is associated with HCC cumulative incidence reduction.

Answer 3

Aspirin
Coffee consumption

Question 4

Recommended method of surveillance of HCC

Answer 4

Ultrasonography every 6 months, with or without serum α fetoprotein (AFP) levels .

Question 5

Using contrast-enhanced imaging techniques, the typical hallmark of HCC consists of………………….

This radiologic pattern captures the hypervascular nature characteristic of HCC.

Answer 5

vascular uptake of the nodule in the arterial phase with washout in the portal venous or delayed phases

Question 6

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

Answer 6

four-phase multidetector CT scan
dynamic contrast-enhanced MRI

Due to nodules smaller than 1cm

Question 7

AFP levels ≥400 ng/dL are

Answer 7

highly suspicious, but not diagnostic, of HCC according to guidelines.

Question 8

Risk factors

iCCA +pCCA

dCCA

Answer 8

PSC

دویرة لذا سبب دويريگ اراي دوينيمنةو /المشروبات الحلوة

Question 9

Diagnosis of …………CCA requires pathologic confirmation.

Answer 9

Intrahepatic

Question 10

MRI has the highest diagnostic accuracy (homogeneous enhancement in the arterial phase with a central scar).
(((Central scar)))

Answer 10

Focal nodular hyperplasia

Question 11

the main risk factors for hepatic adenoma are ………….in females and use of………….in males

Answer 11

oral contraceptives in females and use of anabolic androgenic steroids in male body builders.

Question 12

…………….have the potential for hemorrhage and HCC development, particularly when >5 cm.

Answer 12

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

Question 13

٠٠٠٠٠٠٠٠٠٠٠adenomas are more prevalent in females with obesity or diabetes;

Answer 13

Inflammatory

Question 14

For HCA <5 cm,

Answer 14

1-year follow-up is recommended.