Liver Neoplasms: The Daily PANCE Blueprint

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Liver Neoplasms: The Daily PANCE Blueprint

A 38-year-old female is incidentally found to have a 2 cm homogeneous, hyperechoic liver lesion on noncontrast abdominal ultrasound. She is asymptomatic. Which of the following is the most appropriate next step in management?

A. Liver biopsy
B. Surgical resection
C. MRI every 6 months
D. No further workup required
E. Start oral contraceptive pills

Answer and topic summary

The answer is D. No further workup required

Hepatic hemangiomas are the most common benign liver lesions. The typical patient is a 30-50-year-old woman. Exposure to estrogen may increase the size of hepatic hemangiomas. Patients are asymptomatic; however, if they do have symptoms, they may have RUQ abdominal pain. A noncontrast US will show a homogeneous, hyperechoic mass. If lesions are < 5 cm, you don’t need to do anything. If > 5 cm, monitoring is needed Q6-12 months via MRI.

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Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒Gastrointestinal System Neoplasms ⇒ Liver neoplasms

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