Liver Mass

From Anvita Health Wiki

Contents 1 Laboratory 2 Radiology 3 Management 4 More General Terms 5 Additional Terms 6 References

Laboratory

• liver function tests
• HBsAg
• anti- hepatitis C
• alpha-fetoprotein
• percutaneous fine-needle biopsy if abnormal laboratory tests

Radiology

• hepatobiliary ultrasonography
• computed tomography ( CT) or magnetic resonance imaging ( MRI)
• [99]Tc-tagged erythrocyte scan for diagnosis of hemangiomas > 3 cm in size (NOT useful for smaller lesions)

Management

• lesions < 5 cm suspected to be hepatocellular adenoma

• discontinue oral contraceptives - observe for regression of lesion
• resection if not taking oral contraceptives

• lesions > 5 cm in size -> resection
• frozen section evaluation of biopsies

• hepatocellular adenoma -> resect
• focal nodular hyperplasia
• no malignant potential
• resection is optional

More General Terms

• abnormal morphologic structure (malformation)
• liver disease
• mass

Additional Terms

• hepatitis B virus (HBV) serology
• hepatitis C virus (HCV) serology
• hepatobiliary ultrasonography
• liver (function) tests (LFT, liver panel, hepatic function panel)

References

1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
2. National Guideline Clearinghouse Liver lesion - initial characterization. (American College of Radiology) ngc-guideline: [1]

liver mass