TABLE 431-4 Differential Diagnosis of Bonign Hepatic Neoplasms
Cavernous Hemangioma
Focal Nodular Hyperplasia
Hepatocettular Adenoma,
3% 20%
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‘are wall demarcated and
frequently surrounded by
a thin capsule (olood-
filed “cyst”
ee.
featret inet by enolheln and
separated by comectne
tissue; no bilary or portal
structures
Complications Mass effect, infammatory
reaction,
Malignant No
‘transformation
Treatment ‘Surgical enucleation or
resection only if
symptomatic;
radiation i unresectable
96
malformation, hereditary
c9-US, ce-CT, MRI
Normal
Light brown, well-crcumscribed
lebulated tuner without capsule
and
Normal hepatocytes arranged in
thickened pates, contri
Intertace between Tiorous bands
and nodules, no bile cucis
0.5%
‘Steroid hormones (estrogen.
progesterone, androgen), NASH, tyoe |
and Ill glycogen storage disease
US, ce-CT, MRI
Normal
Wel masses with a
compressed hepatic
Rr rag rover,
yellow-brown as well
Composed of large lipid and glycogen-
5 cm in females with imaging
Management for all Resection Resection Resection Resection
‘tumor sizes in rales