eMedicine Specialties > Gastroenterology > Liver
Hepatocellular Adenoma: Follow-up
Updated: Aug 3, 2006
Follow-up
Further Outpatient Care
- Yearly ultrasound imaging and an assessment of serum AFP levels is a consideration in all patients with hepatocellular adenomas.
Prognosis
- Complete resolution is atypical.
- The risk of malignant transformation remains even after the contraceptive or steroid use has been discontinued.
- The risk of malignant transformation exists and is as high as 8-13%.
Miscellaneous
Medicolegal Pitfalls
- Differentiation of a hepatocellular adenoma from a high-grade HCC can be difficult, if not impossible.
More on Hepatocellular Adenoma |
| Overview: Hepatocellular Adenoma |
| Differential Diagnoses & Workup: Hepatocellular Adenoma |
| Treatment & Medication: Hepatocellular Adenoma |
Follow-up: Hepatocellular Adenoma |
| References |
| « Previous Page |
References
Baum JK, Bookstein JJ, Holtz F. Possible association between benign hepatomas and oral contraceptives. Lancet. Oct 27 1973;2(7835):926-9. [Medline].
De Carlis L, Pirotta V, Rondinara GF. Hepatic adenoma and focal nodular hyperplasia: diagnosis and criteria for treatment. Liver Transpl Surg. Mar 1997;3(2):160-5. [Medline].
Klatskin G. Hepatic tumors: possible relationship to use of oral contraceptives. Gastroenterology. Aug 1977;DA - 19770825(2):386-94. [Medline].
Lee RG. Neoplasms and other masses: Benign hepatocellular tumors. In: Diagnostic Liver Pathology. St. Louis, Mo:. Mosby-Yearbook;1994:422-430.
Mergo PJ, Ros PR. Benign lesions of the liver. Radiol Clin North Am. Mar 1998;36(2):319-31. [Medline].
Mortele KJ, Ros PR. Benign liver neoplasms. Clin Liver Dis. Feb 2002;6(1):119-45.
Reddy KR, Schiff ER. Approach to a liver mass. Semin Liver Dis. Nov 1993;13(4):423-35. [Medline].
Rooks JB, Ory HW, Ishak KG. Epidemiology of hepatocellular adenoma. The role of oral contraceptive use. JAMA. Aug 17 1979;242(7):644-8. [Medline].
Weimann A, Ringe B, Klempnauer J. Benign liver tumors: differential diagnosis and indications for surgery. World J Surg. Nov-Dec 1997;21(9):983-90; discussion 990-1. [Medline].
Further Reading
Keywords
HA, benign hepatoma, hepatic adenoma, liver cell adenoma, oral contraceptives, oral contraceptive pills, OCP, glycogen storage disease, GSD
Follow-up: Hepatocellular Adenoma