Liver Pathology (Malignant Solid Hepatic Lesions & Other Primary Liver Tumors)

39 Questions | Total Attempts: 56

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Liver Pathology (Malignant Solid Hepatic Lesions & Other Primary Liver Tumors)

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Questions and Answers
  • 1. 
    What is the "most common" malignant liver tumor in children?
  • 2. 
    Hepatoblastoma is a secondary cancer in adults with an increased incidence in females.
    • A. 

      True

    • B. 

      False

  • 3. 
    Hepatoblastoma has an increased incidence in patients with ___________ - ___________ Syndrome.
  • 4. 
    Beckwith-Wiedemann Syndrome is a rare, overgrowth disorder in which babies are __________ at birth and may develop _________  _________  _________.
  • 5. 
    Beckwith-Wiedemann Syndrome increases the risk of developing certain cancers, especially __________ tumor.
  • 6. 
    Hepatoblastoma - Clinical and Lab Data:Check all of the following that apply.
    • A. 

      Abdominal enlargement

    • B. 

      Hepatomegaly

    • C. 

      Weight loss

    • D. 

      Nausea and vomiting

    • E. 

      Markedly elevated AFP

    • F. 

      Fever

  • 7. 
    Hepatoblastoma - Sono Appearance:Check all of the following that apply.
    • A. 

      May be hyperechoic or cystic with septations

    • B. 

      May be hypoechoic or cystic with septations

    • C. 

      Often heterogeneous

    • D. 

      Occasionally has calcifications

    • E. 

      Often homogeneous

  • 8. 
    Hepatoblastoma:Prognosis is _________ if the tumor is __________ and can be completely removed by surgery.
  • 9. 
    HCC (Hepatocellular Carcinoma), also known as ___________, is a ___________ (primary or secondary?) liver cancer.  This is one of the "most common" malignant tumors.
  • 10. 
    ____________ is the most common predisposing factor (80% of cases) in North America for Hepatocellular Carcinoma.
  • 11. 
    Chronic hepatitis B can lead to the development of HCC.
    • A. 

      True

    • B. 

      False

  • 12. 
    Hepatocellular Carcinoma - Clinical and Lab Data:Check all the following that apply.
    • A. 

      Palpable mass

    • B. 

      Rapid liver enlargement

    • C. 

      Unexplained mild fever

    • D. 

      Unexplained high fever

    • E. 

      Weight loss

    • F. 

      RLQ pain

    • G. 

      RUQ pain

    • H. 

      Signs and symptoms associated with cirrhosis

    • I. 

      LFT's may be normal

    • J. 

      Increased AFP

  • 13. 
    Hepatocellular Carcinoma - Sono Appearance:Appearance is varied.  May be a ___________ tumor, multiple ___________, or ___________ liver parenchyma invasion.
  • 14. 
    Hepatocellular Carcinoma - Sono Appearance:Small masses (<5 cm) tend to be ____________ (hyperechoic or hypoechoic?).
  • 15. 
    Hepatocellular Carcinoma - Sono Appearance:Larger lesions may be ____________ with areas of ____________.
  • 16. 
    Hepatomegaly and ascites would be observed on sono in a patient with hepatocellular carcinoma.
    • A. 

      True

    • B. 

      False

  • 17. 
    Hepatocellular Carcinoma - Sono Appearance:Portal veins, hepatic veins and bile duct invasion are rarely seen in patients with HCC.
    • A. 

      True

    • B. 

      False

  • 18. 
    One of the complications of HCC is that it tends to invade the ___________ veins producing ___________  ____________ Syndrome.
  • 19. 
    ___________ or ___________ invasion of the portal system is seen in ___(#) to ___(#)% of HCC patients.
  • 20. 
    Hepatocellular Carcinoma - Complications:Besides invading the hepatic and portal veins, HCC may also invade the ___________  ___________.
  • 21. 
    Metastatic liver disease is considered to be primary or secondary?
  • 22. 
    Metastatic liver disease is ___(#) to ___(#) times more common than HCC.
  • 23. 
    The liver is the most common site for metastatic development.
    • A. 

      True

    • B. 

      False

  • 24. 
    Metastatic liver disease most often occurs from dissemination of tumor cells to the liver via the _________  vein, __________, __________  __________, and less common from direct extension.
  • 25. 
    Usually the primary site for metastatic liver disease is GI related.
    • A. 

      True

    • B. 

      False

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