Liver Neoplasms: The Daily PANCE Blueprint
Which of the following is the most common benign neoplasm of the liver?
A. Hepatocellular carcinoma
B. Hepatic hemangioma
C. Liver angiosarcoma
D. Hepatocellular adenoma
E. Hepatoblastoma
Answer and topic summary
The answer is B. Hepatic hemangioma
Hepatic hemangiomas are the most common benign liver lesions. The typical patient is a 30 to a 50-year-old woman. Exposure to estrogen may increase the size of hepatic hemangiomas. Patients are typically asymptomatic; however, if they do have symptoms they may have RUQ abdominal pain. An ultrasound will show a homogeneous, hyperechoic mass. If lesions are < 5 cm, you usually don’t need to do anything. If > 5 cm, monitoring is needed Q6-12 months via MRI.
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