Liver Lesions Benign

- Hemangioma - MOST COMMON, Peripheral to central enhancement, hypervascular, Do nothing unless giant or symptomatic/consumptive (Kasabach-Merritt syndrome)
- Adenoma: HEMORRHAGE RISK and malignant transformation risk, usually young women on birth control, stop birth control pills and if same size, then resect
- Focal Nodular Hyperplasia: CENTRAL STELLATE SCAR, sulfur colloid scan positive although MRI usually diagnositc, no need for surgical resection.
QUESTION: Most common benign liver lesion?
ANSWER: Hemangioma
QUESTION: First step in management of hepatic adenoma?  If that doesn't work then?
ANSWER: Stop birth control pills, then resection