Q:

Which of the following statement(s) is/are true about benign lesions of the liver?

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Which of the following statement(s) is/are true about benign lesions of the liver? 


  1. Adenomas are true neoplasms with a predisposition for complications and should usually be resected.
  2. Focal nodular hyperplasia (FNH) is a neoplasm related to birth control pills (BCPs) and usually requires resection.
  3. Hemangiomas are the most common benign lesions of the liver that come to the surgeon\'s attention.
  4. Nodular regenerative hyperplasia does not usually accompany cirrhosis.

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A. Adenomas are true neoplasms with a predisposition for complications and should usually be resected.

DISCUSSION: Adenomas typically enlarge and cause symptoms, may rupture, and have a definite malignant potential. Therefore they should generally be resected when found. FNH is not a true neoplasm and generally has an uneventful course. Both are related to BCPs, although the relationship of adenoma is more firmly established. While small bile duct hamartomas are much more common, hemangiomas are the most common lesion to come to the attention of surgeons. They should not generally be biopsied because of possible hemorrhage. By definition, nodular regenerative hyperplasia occurs in the absence of cirrhosis.

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