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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. Which among the following are complications of liver trauma? 

    1. Liver abscess 

    2. Biliary fistula 

    3. Portal thrombosis 

    4. Liver failure 

    Select the correct answer using the code given below.

  2. Which of the following are local complications of acute pancreatitis? 

    1. Pseudocyst 

    2. Pleural effusion 

    3. Ileus 

    4. Acute fluid collection 

    Select the correct answer using the code given below.

  3. Which of the following are risk factors for the development of pancreatic cancer? 

    1. Cigarette smoking 

    2. Diabetes mellitus 

    3. Caucasian ethnicity 

    4. Male gender 

    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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