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A 36-year-old female asked:

should a hepatic adenoma always be removed surgically?

2 doctor answers5 doctors weighed in
Dr. Jason Hemming
Gastroenterology 17 years experience
Not always : But not an easy question. Smaller lesions (<5cm) can usually be followed off ocp and it may regress. Any symptomatic lesion should be removed.
Dr. Anne Larson
Hepatology 34 years experience
Not Necessarily: Small adenomas have a lower cancer and hemorrhage risk. If they become large, such as >5 cm, the cancer and hemorrhage risk increases and most recommend removing them at that time. They are made worse by oral contraceptives so these should not be used.

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Last updated Apr 13, 2013
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