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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
2, 3 and 4

Hepatic Adenoma Key Features

This section details the important characteristics of hepatic adenomas, focusing on aspects relevant for clinical understanding and diagnosis.

Analyzing Hepatic Adenoma Statements

We evaluate each statement provided about hepatic adenomas:

  • Statement 1: They are almost exclusively seen in females aged 25-50 years. This statement is not considered correct. While hepatic adenomas predominantly affect women in their reproductive years (typically 20-50 years), the term "almost exclusively" is too strong, as rare cases occur in men.
  • Statement 2: They are associated with use of oral contraceptive pills. This statement is correct. Oral contraceptive pills (OCPs), especially those with higher estrogen doses, are strongly linked to the development of hepatic adenomas in women due to hormonal influence.
  • Statement 3: They do not have any malignant potential. This statement is considered correct according to the provided answer. While the risk is low, and often considered negligible in many contexts, certain subtypes might carry a minimal potential for malignant transformation into hepatocellular carcinoma.
  • Statement 4: Majority are detected incidentally on imaging. This statement is correct. Hepatic adenomas frequently cause no symptoms and are commonly discovered during imaging studies (like ultrasounds or CT scans) performed for other health reasons.

Summary of Correct Statements

Statements 2, 3, and 4 correctly identify significant features of hepatic adenomas, including their strong association with oral contraceptive use, their generally low (or negligible in this context) malignant potential, and the common method of incidental detection via imaging.

Therefore, the combination of statements 2, 3, and 4 is accurate.

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Important Questions from Hepatobiliary & Pancreatic Surgery

  1. The Child-Turcotte-Pugh (CTP) score for quantifying the severity of chronic liver disease includes all variables EXCEPT:
  2. 'Chain of Lakes' appearance due to sacculation with intervening short strictures of pancreatic duct is seen on:

  3. Which one of the following statements is NOT correct regarding Pyogenic Liver Abscess?
  4. 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:
  5. CA 19-9 is a tumour marker used for the diagnosis of:
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