Hepatic adenoma symptoms rarely appear or even misinterpreted as symptoms of other diseases. Liver adenoma is a rare liver tumor. The tumor mass must be monitored because it can get bigger, happened bleeding and turned into cancer cell. If adenomas are more than 5 cm in size, doctors usually suggest surgical removal of the tumor.
In women, the doctor may ask to stop taking oral contraceptive pills or anabolic steroids. Then perform an ultrasound examination and provide serum alpha fetoprotein to patients who have not taken the tumor removal action. If bleeding is suspected, the doctor may perform emergency measures with arteriography and embolization to control the bleeding.
Symptoms of Hepatocellular Adenoma
Liver tumor disease (Hepatocellular Adenoma) is a frightening and dangerous disease; liver tumor disease is divided into two benign liver tumors and malignant liver tumors. These malignant liver tumors come from the liver, and commonly referred to as primary liver cancer.
Benign liver tumors are more commonly found but sometimes cause no symptoms, and most are detected or found when a person performs an examination (via ultrasound, CT or MRI).
Hepatocellular adenoma; diseases with other names of hepatic adenomas are characterized by an unnatural growth in liver and are often associated with the use of hormone contrast devices with high estrogen levels.
Patients with this disease usually feel abdominal pain, there is a clear bump around the liver location, and bleeding that will cause excessive sweating, hypotension, and tachycardia. However, many patients with this disease do not feel any symptoms.
The best treatment for hepatocellular adenoma is by liver resection, but observations on extensive treatment are required during the procedure, to avoid adenoma splitting. Hepatocellular adenomas occur mostly in women in childbearing age, especially those using oral contraceptives.
Diagnosis of Hepatocellular Adenoma
The best method to diagnose hepatocellular adenoma is through liver ultrasound surveillance done every 6 months in patients with cirrhosis diagnosis. Like most forms of cancer, it is best to treat liver cancer after the disease is detected. When the hepatocellular adenoma tumor exists, a doctor will ask the patient to do one of the following to confirm the diagnosis:
- Blood test
- Imaging studies
Computerized tomography scan and multiphase contrast CT targeting liver as he main organ for detecting the site and blood supply level of the tumor (cancer). If imaging studies are not convincing, another options of imaging study must be taken to clarify and get the best diagnosis. Small lesion (less than 1 cm) is usually hard to be detected and characterized.
- Biopsy is performed on the sample tissue of the liver lesion. The tissue is pathologically analyzed by to confirm the alleged diagnosis of hepatocellular adenoma. The liver biopsy is not necessary taken in all patients with hepatocellular adenoma. It is done when the tumor is cannot be detected by using imaging research or other lab test.
There are risks of a liver biopsy such as bleeding, and infection. Bleeding occurs when the needle used in biopsy procedure take a tumor cell and accidently put the cell onto other organs. If a liver biopsy is unable to discover the cancer, it is recommended to repeat the same imaging studies (and the other sequences) at 3 to 6 months intervals.
Hepatic Adenoma Medical Treatments
Hepatic adenoma is a benign tumor that does not require treatment. However, if you are worried if the tumor cells enlarge and cause future complications, you can take precautions first. For example by not smoking and not consuming alcoholic beverages, maintaining weight, and there are many ways to keep your liver to stay healthy. That way, your risk for this disease can be minimized.
As explained earlier that treatment is not necessary for this disease, it does not mean you do not need it at all. The size of tumor cells is used as a benchmark whether you need treatment or not.
When the tumor cells are large and push the nearest structures in your stomach, you can perform several types of treatment as below:
- Surgery to remove Hepatic adenoma of the liver
Doctors will recommend this type of treatment when tumor cells can be easily separated from the liver. Doctors will only remove tumor cells that are attached to the liver.
- Radiation therapy
This type of therapy uses powerful energy rays, such as X-rays, to damage tumor cells. However, this type of treatment is rarely used.
If the tumor cell size causes Hepatic adenoma of the liver is very large and cannot be overcome with other treatments, the doctor will recommend this type of treatment.
This surgery is done to lift the liver and replace it with other healthy heart organ. However, do not worry, many cases say that tumor cells that cause hepatic adenoma syndromes will never grow and will not cause other problems.