title: Large hepatic adenoma in a 21-year-old male.
abstract: Hepatic adenoma is an uncommon benign lesion of the liver that occurs more frequently in women in their third and fourth decades. The female/male ratio is up to 11:1. Hepatic adenomas may be single or multiple occasionally reaching sizes up to 20 cm. They are non-cancerous lesions, however they can become malignant. We present a 21-year-old male patient with no medical history who presented with abdominal pain, a palpable abdominal mass, abnormal liver function tests and a 14 kg weight loss in a 2-year period. A CT scan was performed with a 17 cm tumour compressing intrahepatic bile ducts. The patient underwent a right hepatectomy with no complications. Histopathological analysis of the tumour revealed a hepatic adenoma with central necrosis. The patient is asymptomatic at 1-year follow-up.
authors.affiliation: Department of Organ Transplantation, Hospital General de Veracruz, Veracruz, Veracruz, Mexico.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Martinez-Mier
authors.forename: Horacio
authors.initials: H
authors.lastname: Enriquez De los Santos
authors.forename: Peter
authors.initials: P
authors.lastname: Grube-Pagola
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000236:Adenoma / Q000601:surgery*; D003937:Diagnosis, Differential; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D033162:Incidental Findings; D008113:Liver Neoplasms / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D016896:Treatment Outcome; D055815:Young Adult