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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    INCIDENTAL LESIONS Small lesions less than 1 cm → repeat study in 6 months Simple cysts → verify with ultrasound Hemangiomas → triphasic CT with contrast → 99 mTc-labeled red blood cell scan (for lesions greater than 1 cm) or gadolinium-enhanced MRI FNH → triphasic CT with contrast → gadolinium-enhanced viagra price in kenya MRI → ?. The patient’s age and sex are important clues. Symptomatic lesions and lesions noted incidentally are likely to have different etiologies. The workup of a focal liver mass must occur in the context of a carefully considered differential diagnosis. Cirrhosis requires a modified approach because of the increased likelihood of HCC.

    biopsy Hepatic adenoma → history of OCPs → rule out hemangioma and FNH → resection (outlined above) SYMPTOMATIC LESIONS Hepatic adenoma → history of OCPs → rule out hemangioma/FNH → resection Liver abscess → sepsis → ultrasound → triphasic CT (rim enhancement) CIRRHOSIS OR RISK FACTORS FOR CHOLANGIOCARCINOMA HCC → AFP → triphasic CT → MRI with contrast or MRI angiography Cholangiocarcinoma → CA 17-7 → triphasic with delayed-phase CT → ?. Associated symptoms, presence of underlying liver disease or extrahepatic malignancy, drug and occupational exposures, and laboratory abnormalities must be assessed before proceeding with further radiographic studies.

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