Liver Lesions: Symptoms, Diagnosis and Treatment

.

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]

[wiseminkx]

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 😕

[Let_me_pray_you]

This was a very informative video. I keep watching it in hopes that my liver lesions are benign. This waiting period is very scary. Thank you again for the video. 🙏🏿🙏🏿🙏🏿🙏🏿🙏🏿🙏🏿❤️❤️❤️❤️❤️❤️

[kathryndalton]

I've just been diagnosed with liver lesions. I don't drink except socially. I have had antibiotics. I am on Blood Pressure meds.

[FarahTheCat]

I was just gotten diagnosed with liver lesions and I am only 20 years old my symptoms are stomach pains, nausea, vomiting, fullness quickly from eating, always sleepy and weakness.

[maineguy]

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?

[putt]

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.

[Islamictalks-jh]

Sir i have a confusion that all hematomas are seen hyperdense in CT image but liver laceration (hematoma ) is seen hypodense why ?

[NoticemeSenpaiiiix]

Hey idk if anyone is gonna reply but im currently going thru this. I been diagnosed with liver lesions and positive ANA, i dont drink alcohol at all. I dont know what to expect. Any feedback is good thanks

[andrewhickman]

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.

[KNaz-ztbm]

My husband has just been diagnosed with a suspicious lesion of 3.2 x 2.8cm in the gastric antrum.
Few lymph nodes with fat stranding adjacent to the diseased antrum of stomach.
Few para aortic lymph nodes.
Multiple ill-defined hypodense liver lesions.
Can it be treated with medications or must surgery?

[KaBuRaMaE]

I had wipple surgery for Neuroendocrine tumor (welldefined) non cancerous and 1 month after surgery the 1st ultra sound showed fatty liver grade 2 and after 11 days 2nd ultra sound shows i have nodule in left lobe of liver and size and shape of liver is normal. What are your thoughts. Iam 23 years old.

[NGTASSASINOPStatus]

If doctors know that certain medications cause that to happen why the hell do they prescribe them in the first place 😤

[AmbreenAshraf-tu]

Heello sir,
Recently i have done my CT scan .the results of ct scan is
"

Findings are of multiple small focal hepatic lesions with peripheral enhancement Differential includes mets

Microabcesses'"

Suggest me what i can do