To make an appointment with a hepatologist at the UPMC Center for Liver Diseases, call 412-647-1170 or fill out our contact form.
Liver, or hepatocellular, adenomas are benign tumors that form in the liver.
Between 7 and 12 people out of 100,000 will get a liver adenoma at some point in their lives.
Rarely, liver adenomas become cancerous. When they do, doctors call this cancer hepatocellular carcinoma.
The risk of these tumors becoming cancer is up to 10 times higher in men than in women.
Some people who get liver adenomas have changes in certain genes. Others have changes in specific proteins the body makes.
Doctors don't know for sure what causes liver adenomas to become cancerous. Researchers believe that having metabolic syndrome may be a factor.
Metabolic syndrome is the name for a group of risk factors that include:
You may also be at higher risk for adenoma liver cancer if you have cirrhosis or if your tumor is large.
Though adenoma liver cancer is more common in men, women might be at greater risk if they:
Rarely, a benign liver adenoma may rupture. If this occurs, the tumor bleeds into the stomach, and doctors will do emergency surgery to stop this bleeding.
At the UPMC Center for Liver Diseases, our experts diagnose and treat all liver conditions, including benign and cancerous liver adenomas.
Many people with these tumors don't have any symptoms at all, but some may have:
Severe stomach pain can occur if a liver adenoma bursts.
Doctors can diagnose liver adenomas with imaging tests such as:
You may need a blood test to check your liver's function.
Doctors will check your blood for levels of certain enzymes your body makes. High levels of alpha-fetoprotein in your blood may show that a liver adenoma has become cancerous.
If doctors suspect your tumor has become cancer, they may take a small sample of liver tissue. This test is a liver biopsy.
Treatment for liver adenomas depends on the size of the tumor.
Doctors will make a treatment plan based on how big the tumor looks in imaging tests.
Doctors might suggest you make certain lifestyle changes to help manage your tumor.
They may ask you to:
Depending on the size of the liver adenoma, medical treatments may include:
When liver adenomas are larger than 5 centimeters, surgeons use partial hepatectomy to remove them. During this liver surgery, they remove the tumor and some tissue near it. They leave the healthy part of your liver.
Since men are at greater risk of liver adenoma becoming cancerous, surgeons often remove the tumors no matter their size.
If liver cancer is in an advanced stage, doctors may talk with you about a liver transplant.
In liver transplants, surgeons take out the whole diseased liver and replace it with a healthy donated liver.