Hepatocellular Adenoma (Hepatic Adenoma) Differential Diagnoses

Updated: Dec 03, 2020
  • Author: Michael H Piper, MD; Chief Editor: BS Anand, MD  more...
  • Print

Diagnostic Considerations

Important considerations

Note that differentiation of a hepatocellular adenoma (HCA) (hepatic adenoma) from a high-grade hepatocellular carcinoma (HCC) can be difficult, [62, 63] if not impossible, so this should always be considered.

Other diagnostic considerations

Also consider the following conditions in the evaluation of patients with suspected HCA:

  • Echinococcal cyst

  • Focal fatty change

  • Focal nodular hyperplasia

  • Hemangioma

  • Hepatoblastoma

  • Infiltrative liver disease

  • Inflammatory pseudotumor

  • Leiomyosarcoma

  • Lymphoma

  • Nodular regenerative hyperplasia

Differential Diagnoses