HEPATOCELLULAR ADENOMA

1. CHIEF COMPLAINT
•HEPATOCELLULAR ADENOMA

2. HPI

3. ROS

4. SYMPTOMS
•Pain in the right upper quadrant or epigastric region
•Jaundice

5. HISTORY
•FAMILY HISTORY
•SOCIAL HISTORY
•PAST MEDICAL HISTORY
o Oral contraceptive medications containing mestranol
o Anabolic steroids

•SURGICAL HISTORY
•CHRONIC CONDITIONS

6. ALLERGIES

7. PHYSICAL EXAMINATION
•Palpable tender or nontender mass in the right
hypochondrium
•Anicteric sclera
•Pale conjunctiva
•Hepatomegaly

8. SPECIFIC DATA LIKE GRADING ETC

9. TESTS TO BE ORDERED
•CBP
•Liver function tests
•Serum aspartate aminotransferase [AST]
•Serum alanine aminotransferase [ALT]) levels
•Serum alpha-fetoprotein (AFP) levels
•Carcinoembryonic antigen (CEA) levels
 •Ultrasound
•CT scan
•Magnetic resonance imaging
•Arteriography
•Liver biopsy

10.ASSESSMENT /PLAN

•Stop using oral contraceptives or anabolic steroids.

•Pregnancy should be avoided because of the risk of growth
and rupture.

Surgical Care
•Surgical resection
•Laparoscopic resection

11.EDUCATION

12.MEDICATION

13.FOLLOW-UP