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A 36-year-old female asked:
should a hepatic adenoma always be removed surgically?
2 doctor answers • 5 doctors weighed in

Dr. Jason Hemming answered
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.
5218 viewsAnswered >2 years ago

Dr. Anne Larson answered
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.
5216 viewsReviewed >2 years ago
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Last updated Apr 13, 2013
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