Hepatic adenomas are benign liver tumors,
most commonly reported in young women taking oral contraceptives. However, the
malignant transformation rate is less than 5%. In selected cases when patients
experience pain or other symptoms (eg, duodenal obstruction, development of
platelet-associated bleeding dysfunction), resection of the hemangioma is indicated.
Focal nodular hyperplasia has the radiographic finding of a central scar. Only with
very large lesions, when the patient is symptomatic or the diagnosis cannot be
assured, is surgery indicated. Simple hepatic cysts are common and rarely require
surgical intervention, except in symptomatic patients.
- Adenomas are benign liver tumors associated with oral contraceptive use in young
women and should always be resected because of their high frequency of malignant
transformation into hepatocellular cancer.
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Seminars in Medical Practice
Hospital Physician Board Review Manuals
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