Hepatic adenoma

• Facts:
  Benign epithelial tumor of the liver that usually arise as a solitary mass in the right hepatic lobe
  Commonly seen in young and middle aged women on OCPs
• History / PE:
  Abdominal, RUQ pain
  Palpable abdominal mass
  Jaundice
  
• Diagnosis:
  Enlarged adenoma cells that contain glycogen and lipid
  Normal alpha-fetoprotein
• Treatment:
  Conservative management
  Resection (if symptomatic)
• Complications:
  Severe intra-tumor hemorrhage
  Malignant transformation
• Associated With:
  Anabolic androgen use
  Glycogen storage disease
  Pregnancy
  DM
• Differential Diagnosis:
  Focal nodular hyperplasia (Kupffer cells, sinusoids)