Management of hepatocellular adenoma: comparison of resection, embolization and observation

Abstract

While solitary adenomas are often resected, multifocal HAs are frequently embolized. Small adenomas can safely be observed. Given low recurrence rates, select HAs can be considered for embolization.

Long-term outcomes of resection in patients with symptomatic benign liver tumours

“…[15][16][17][18] Unlike HCA, FNH carries no risk of bleeding and malignant transformation and therefore, 19 the need for resection is rare, and is only dictated by symptoms. The same holds for haemangioma.…”

Percutaneous Irreversible Electroporation of a Large Centrally Located Hepatocellular Adenoma in a Woman with a Pregnancy Wish

“…The 5 % chance of malignant transformation of hepatic adenomas [2] may be considered an additional argument in favor of minimally invasive treatment. Although promising reports have been published [11,12], the exact role of these strategies has yet to be determined. A watchful wait approach with periodical liver ultrasound may be considered for adenomas that are unsuitable for RFA, with transarterial embolization in case of hemorrhage [9].…”

Approach to Hepatic Adenomas That it Self Shows with Cholestasis

“…Son zamanlarda mikrodalga ablasyonda bir tedavi seçeneği olarak uygulanmıştır. 8,9 Bu olguda da laboratuvar ve görüntüleme bulguları ile ön planda daha çok HA düşünüldü-ğünden, ayrıca olguda kitlenin basısına bağlı oluşan kolestaz ve kitle içine oluşan hemoraji nedeni ile kitlenin boyutu da göz önüne alınarak karaciğer biyopsisi yapmak yerine, cerrahi rezeksiyon yapılması uygun bir seçenek olarak görül-müştür. …”