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Question

Which of the following statements regarding hepatic adenomas are correct?
1. They are almost exclusively seen in females aged 25-50 years
2. They are associated with use of oral contraceptive pills
3. They do not have any malignant potential
4. Majority are detected incidentally on imaging
Select the correct answer using the code given below :

The correct answer is
1, 2 and 4

Hepatic Adenoma Characteristics Explained

This question requires identifying correct statements about hepatic adenomas. Let's analyze each statement:

Statement 1: Demographics

Hepatic adenomas predominantly affect females, typically between the ages of 25 and 50 years. This age group corresponds to reproductive years.

Statement 2: Association with OCPs

There is a well-established link between the use of oral contraceptive pills (OCPs) and the development of hepatic adenomas. Estrogen exposure is considered a contributing factor.

Statement 3: Malignant Potential

While considered benign, hepatic adenomas carry a risk, albeit small, of malignant transformation into hepatocellular carcinoma. Therefore, the statement that they do not have any malignant potential is incorrect.

Statement 4: Detection Method

A significant number of hepatic adenomas are asymptomatic and are discovered incidentally during imaging tests (like ultrasound, CT, or MRI) performed for unrelated reasons.

Conclusion on Correct Statements

Based on the analysis:

  • Statement 1 is correct.
  • Statement 2 is correct.
  • Statement 3 is incorrect.
  • Statement 4 is correct.

Therefore, the correct combination includes statements 1, 2, and 4.

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Important Questions from Hepatobiliary & Pancreatic Surgery

  1. Which of the statements regarding Calot's triangle are correct?
    1. Common hepatic duct forms the medial boundary of the Calot's triangle
    2. Inferior surface of the right lobe of the liver forms the superior boundary of Calot's triangle
    3. Right hepatic artery is usually found as a content of the Calot's triangle
    4. Cystic duct and medial border of gall bladder forms the lateral border of Calot's triangle
    Select the correct answer using the code given below:
  2. CA 19-9 is a tumour marker used for the diagnosis of:
  3. The Model for End Stage Liver Disease (MELD) score includes which of the following variables ?
    1. Serum bilirubin
    2. Serum albumin
    3. Serum creatinine
    4. International Normalised Ratio (INR)
    Select the correct answer using the code given below :
  4. Which of the following are options for management of a pancreatic pseu- docyst?
    1. Pancreaticoduodenectomy
    2. Cystogastrostomy
    3. Percutaneous drainage
    4. Endoscopic drainage
    Select the correct answer using the code given below :
  5. Which of the following are probable sites for Ectopic pancreas ?
    1. Submucosa of the stomach and duodenum
    2. Liver
    3. Small bowel mesentery
    4. Splenic hilum
    Select the correct answer using the code given below :
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