Benign Liver tumours
Hepatocyte adenoma - may be multiple, often driven by exogenous steroids, can be fatal if rupture
Bile duct adenoma - lots of tiny white nodules
Haemangioma - often incidental finding on liver imaging
Focal nodular hyperplasia - youg females, regenerative arterialised nodule - removed as hard to tell if always benign
Malignant Liver tumours
Hepatocellular carcinoma - usually in Cirrhosis (Hep C/B), alpha fetoprotein (AFP) as tumour marker
Cholangiocarcinoma - bile duct cell malignancy due to chronic inflammation, aggressive difficult to resect
Angiosarcoma - aggressive tumour of blood vessels, a/w toxins vinyl chloride, thorotrast
Secondary Liver tumours
Majority of liver tumours as secondary. Most commonly from: lung, breast, colon, pancreas.
- Multiple whitish nodules
- May replace large volumes of liver before function is compromised