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Surgery 2 - Third Year BHMS

Contents

Surgery 2 - Third Year BHMS

Contents

CoursesBHMSSurgery 2 - Third Year BHMSBENIGN LIVER TUMOURS

BENIGN LIVER TUMOURS

Content

Benign Liver Tumours

Definition

  • Benign liver tumours are non-cancerous growths in the liver.
  • They are usually small, slow-growing, and do not invade surrounding tissues.

Types

Haemangioma

  • Definition: Haemangioma is a benign vascular tumour composed of blood vessels.
  • Pathology: It is characterized by a collection of blood vessels that are usually small and normal in appearance.
  • Causes: The exact cause is unknown, but it is thought to be related to genetic mutations and exposure to certain chemicals.
  • Clinical Features:
    • Most people are asymptomatic.
    • Abdominal pain, liver enlargement, and jaundice are rare symptoms.
    • It is often discovered incidentally during imaging studies for other reasons.
  • Investigations:
    • Imaging studies such as USG and CT scan can help diagnose.
  • Complications:
    • Rarely, haemangioma can rupture, leading to bleeding and haemorrhage.
  • Management:
    • Most haemangiomas are managed conservatively.
    • Surgery may be necessary in cases of rupture or bleeding.

Focal Nodular Hyperplasia (FNH)

  • Definition: FNH is a benign liver tumour composed of normal liver cells.
  • Pathology: It is characterized by a collection of normal liver cells that are arranged in a nodular pattern.
  • Causes: The exact cause is unknown, but it is thought to be related to genetic mutations and exposure to certain chemicals.
  • Clinical Features:
    • Most people are asymptomatic.
    • Abdominal pain, liver enlargement, and jaundice are rare symptoms.
    • It is often discovered incidentally during imaging studies for other reasons.
  • Investigations:
    • Imaging studies such as USG and CT scan can help diagnose.
  • Complications:
    • Rarely, FNH can rupture, leading to bleeding and haemorrhage.
  • Management:
    • Most FNH are managed conservatively.
    • Surgery may be necessary in cases of rupture or bleeding.

Hepatic Adenoma

  • Definition: Hepatic adenoma is a rare, benign liver tumour composed of liver cells.
  • Pathology: It is characterized by a collection of liver cells that are arranged in a disorganized pattern.
  • Causes: The exact cause is unknown, but it is thought to be related to genetic mutations and exposure to certain chemicals.
  • Clinical Features:
    • Most people are asymptomatic.
    • Abdominal pain, liver enlargement, and jaundice are rare symptoms.
    • It is often discovered incidentally during imaging studies for other reasons.
  • Investigations:
    • Imaging studies such as USG and CT scan can help diagnose.
  • Complications:
    • Rarely, hepatic adenoma can rupture, leading to bleeding and haemorrhage.
  • Management:
    • Most hepatic adenomas are managed conservatively.
    • Surgery may be necessary in cases of rupture or bleeding.

Imaging and Differentiation

  • Imaging studies such as USG, CT scan, and MRI can help differentiate between benign liver tumours.
  • USG is useful for detecting small tumours, while CT scan is useful for detecting larger tumours.
  • MRI is useful for detecting the composition of the tumour and its relationship with surrounding tissues.

Clinical Features

  • Most people with benign liver tumours are asymptomatic.
  • Abdominal pain, liver enlargement, and jaundice are rare symptoms.
  • The tumours are often discovered incidentally during imaging studies for other reasons.

Investigations

  • Imaging studies such as USG, CT scan, and MRI can help diagnose benign liver tumours.
  • Blood tests can help rule out liver disease.

Complications

  • Rarely, benign liver tumours can rupture, leading to bleeding and haemorrhage.
  • Infections and abscesses can also occur.

Management

  • Most benign liver tumours are managed conservatively.
  • Surgery may be necessary in cases of rupture or bleeding.

Homoeopathic Therapeutic Medicines

  • Belladonna: indicated in cases of acute pain and inflammation.
  • Calcarea carbonica: indicated in cases of liver enlargement and jaundice.
  • China officinalis: indicated in cases of liver disease and jaundice.
  • Lachesis: indicated in cases of liver disease and jaundice.
  • Nux vomica: indicated in cases of liver disease and jaundice.
  • Phosphorus: indicated in cases of liver disease and jaundice.
  • Sanguinaria canadensis: indicated in cases of liver disease and jaundice.
  • Sulphur: indicated in cases of liver disease and jaundice.
  • Thuja occidentalis: indicated in cases of liver disease and jaundice.