Liver Lesions: Symptoms, Diagnosis and Treatment
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- čas přidán 13. 06. 2024
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Chapters
0:00 Introduction
0:32 Types of Liver Lesions
1:33 Causes of Liver Lesions
2:06 Symptoms of Liver Lesions
2:28 Diagnosis of Liver Lesions
2:49 Treatment of Liver Lesions
3:19 Prevention of Liver Lesions
Liver tumors (also known as hepatic tumors) are abnormal growth of liver cells on or in the liver. Several distinct types of tumors can develop in the liver because the liver is made up of various cell types.[1] Liver tumors can be classified as benign (non-cancerous) or malignant (cancerous) growths. They may be discovered on medical imaging (even for a different reason than the cancer itself), and the diagnosis is often confirmed with liver biopsy.[2] Signs and symptoms of liver masses vary from being asymptomatic to patients presenting with an abdominal mass, hepatomegaly, abdominal pain, jaundice, or some other liver dysfunction. Treatment varies and is highly specific to the type of liver tumor.[3]
Benign
There are several types of benign liver tumors. They are caused by either abnormal growth of neoplastic cells or in response to liver injury, known as regenerative nodules.[2] One way to categorize benign liver tumors is by their anatomic source, such as hepatocellular, biliary, or stromal.[2]: 693-704
Hemangiomas
Cavernous hemangiomas (also called hepatic hemangioma or liver hemangioma) are the most common type of benign liver tumor, found in 3%-10% of people.[2] They are made up of blood clusters that are surrounded by endothelial cells.[5] These hemangiomas get their blood supply from the hepatic artery and its branches.[5] These tumors are most common in women.[5] The cause of liver hemangiomas remains unknown; however, it may have congenital and genetic components.[5] They are not known to become malignant based on the available existing literature.[5]
Liver hemangiomas do not usually cause symptoms.[2][5] They are usually small, with sizes up to 10 centimeters.[5] Their size tends to remain stable overtime.[5] However, if the hemangioma is large it can cause abdominal pain, a sense of fullness in right upper abdominal area, heart problems, and coagulation dysfunction.[2][5] Cavernous hemangiomas are diagnosed with medical imaging (do not usually need biopsy to confirm diagnosis).[2]
Given their benign course and often asymptomatic nature, cavernous hemangiomas are typically diagnosed incidentally (e.g. when medical imaging is obtained for another reason).[5] In terms of management, they are usually monitored with periodic imaging as well as more closely if the person becomes pregnant.[5] If the cavernous hemangioma grows quickly or the patient is symptomatic, further medical intervention is warranted.[5] Therapies include open or laparoscopic surgical resection, arterial embolization, or radio-frequency ablation.[5] In terms of complications of hepatic hemangiomas, it is very rare for a hepatic hemangioma to rupture or bleed.[6]
Was diagnosed with liver lesions a few days ago and only did meds for medical reasons as my doctors wouldn't do there jobs they said it was acid reflux and gotten worse over the years. Because of their neglection to properly diagnose me i now have small liver lesion. It took me to get pregnant (2nd child), kidney infection and a x-ray for my lungs for the hospital to find a small lesion on my liver. Wait on MRI but have to do after birth 😕
I have a lesion on my liver as well and am pregnant. I am also waiting to get a MRI after birth. My due date is Dec 2024. I hope our lesions are benign ❤
Any update?
Can you give us an update?
My doctor just found a small hypo echoic lesion on my liver (1.5cm) during an ultrasound, after two previous US with nothing found. MRI is three weeks away, and I find myself watching these videos over and over. Any advice from anyone?
I'm not a medical professional, but finding a liver lesion can be a concerning situation, and it's understandable that you might be feeling anxious. It's positive that your healthcare provider is taking the next step with an MRI to gather more detailed information. It's essential to wait for the results of the MRI, as it provides clearer images and can help determine the nature of the lesion.
In the meantime, try to stay positive and avoid unnecessary stress. Focus on maintaining a healthy lifestyle, including a balanced diet and regular exercise. If you have concerns or questions, it's crucial to discuss them with your healthcare provider. They can provide the most accurate and personalized information based on your specific situation. Remember that not all liver lesions are cancerous, and many benign conditions can also cause them. Waiting for test results can be challenging, but keeping open communication with your healthcare team is key to understanding and addressing your health concerns.
Same here last month us just showed mild enlarged liver now last week us showed fatty liver and a lesion but the doc who read the images didn't even mention lesion as a impression some things can be missed in us depending on the machine and the person doing the us they need to press a bit hard to get clear view
Any update?
I've just been diagnosed with liver lesions. I don't drink except socially. I have had antibiotics. I am on Blood Pressure meds.
Sorry about the condition, I hope you get better soon.
Hello just curious what treatment options have you tried
@kathryndalton9867 Hello! Will you be so kind to share your story with me? I’ve been told I have multiple lesions on my liver but waiting for MRI to make sure they are not cancer related. It’s natural to over think and worry so much till you have clear answers so now I’m stuck in the waiting game for a few weeks. Do you mind sharing with me what you were diagnosed with? Looks like there is some hope that multiple lesions don’t necessarily mean cancer related. It would give me such a peace of mind if you are able to share a bit of what you went through. Thank you in advance.
I wondering the same! My MRI is on Saturday- any updates from anyone?
@@piink10vewhat. Did tgey say are the lesions bening
Sir i have a confusion that all hematomas are seen hyperdense in CT image but liver laceration (hematoma ) is seen hypodense why ?
Liver lesions, including hematomas, can exhibit different densities on CT scans due to variations in their composition and the time elapsed since the injury. While some hematomas may appear hyperdense initially due to the presence of fresh blood, liver lacerations and older hematomas might appear hypodense. This is because the blood undergoes changes in density as it breaks down and is absorbed by surrounding tissues. The hypodense appearance in liver lacerations is often associated with the presence of more organized or older blood products. Radiologists consider these nuances, along with clinical history, to make accurate diagnoses when interpreting CT images of liver lesions. It's important to consult with a healthcare professional for personalized information regarding your specific case.
I have a 2.5 cm liver lesion. Most likely cancerous. I’m 72 so haven’t been cheated. I’m just wondering if the chemotherapy is worth it? Sure I’d like a few more years but not if it’s being sick and miserable. I guess that’s not the right attitude to have but don’t want to be a burden to others. I really don’t have a caregiver and my kids have their own young ones to look after.
Pray to God for an answer 🙏🏻 He loves you!
It’s important to discuss the potential benefits and side effects of chemotherapy with your oncologist to make an informed decision that aligns with your personal health goals and quality of life expectations.
Present 👋
Thanks for coming
I'm here because a doctor told me that I have a small part on my liver yesterday. He said that it might not be anything serious, but he wants to find out and do an MRI, just in case. To be honest, I'm really scared about this.
Did you get your results? What did they say?
I've been going through the same thing. The MRI was nonconclusive. I am less scared now. Many liver lesions are benign. It's scary from r sure. I was asking close relatives about the unthinkable. Best wishes to you. Realize that even cancer, if isolated can be removed, along with part of your liver. The biggest concern is metastasis. It could be just be a hymangioma.
Yeah, I am fine. I haven't replied because I was waiting for the test results to come in. But I have nothing to worry about.