A 55-year-old woman presents with vague right upper quadrant pain and a palpable liver. Laboratory tests are normal and a noncontrast CT scan (patient has a history of contrast allergy) reveals an 8 cm right hepatic mass. Which of the following statement(s) is/are correct concerning the patient’s diagnosis and management.
A. A gadilinium-enhanced MRI would be indicated to define the extent of the lesion and confirm the diagnosis of hemangioma
B. A fine needle aspiration should be performed regardless of radiographic workup
C. Hepatic embolization is the treatment of choice
D. The lesion should be resected because of concern for malignant degeneration
Answer:A
A 55-year-old woman presents with vague right upper quadrant pain and a palpable liver. Laboratory tests are normal and a noncontrast CT scan (patient has a history of contrast allergy) reveals an 8 cm right hepatic mass. Which of the following statement(s) is/are correct concerning the patient’s diagnosis and management.
A. A gadilinium-enhanced MRI would be indicated to define the extent of the lesion and confirm the diagnosis of hemangioma B. A fine needle aspiration should be performed regardless of radiographic workup C. Hepatic embolization is the treatment of choice D. The lesion should be resected because of concern for malignant degeneration