Liver and Gallbladder Pathology Quiz

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Questions and Answers

What is the most common type of liver metastasis?

  • Colorectal cancer metastasis (correct)
  • Pancreatic cancer metastasis
  • Lung cancer metastasis
  • Breast cancer metastasis

Which ultrasound finding indicates potential inflammation or infection of the gallbladder?

  • Increased vascularity
  • Thickened gallbladder wall (correct)
  • Non-homogeneous echogenicity
  • Presence of gallstones

What are the classic ultrasound characteristics of pancreatic adenocarcinoma?

  • Irregular mass, hypoechoic, possibly invading surrounding structures (correct)
  • Well-defined hypoechoic mass with calcification
  • Increased echogenicity with cystic areas
  • Smooth, homogeneous mass with clear borders

What are the possible complications associated with gallbladder stones?

<p>Cholecystitis, cholangitis, pancreatitis, obstructive jaundice (D)</p> Signup and view all the answers

What imaging technique is primarily used to differentiate between benign and malignant liver lesions?

<p>Contrast-enhanced ultrasound, CT, or MRI (D)</p> Signup and view all the answers

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Study Notes

Liver Metastasis

  • Colorectal cancer is the most common cancer that metastasizes to the liver.

Gallbladder Wall Findings

  • A thickened gallbladder wall on ultrasound may indicate inflammation or infection.

Liver Failure Symptoms

  • Clinical signs indicative of liver failure include jaundice (yellowing of the skin), ascites (fluid buildup), abdominal pain, confusion, and swelling.

Liver Abscess Characteristics

  • A liver abscess appears hypoechoic or has mixed echogenicity on ultrasound, often accompanied by surrounding edema.

Pancreatic Conditions

  • The lesser sac, located behind the stomach, is the most common area for pancreatic pseudocysts.
  • Adenocarcinoma is recognized as the most common primary malignancy of the pancreas.
  • Classic ultrasound features of pancreatic adenocarcinoma include an irregular, hypoechoic mass with potential invasion into adjacent structures.

Gallbladder Stones Complications

  • Gallbladder stones can lead to serious complications such as cholecystitis (inflammation of the gallbladder), cholangitis (infection of the bile duct), pancreatitis, and obstructive jaundice.

Chronic Cholecystitis Appearance

  • On ultrasound, a gallbladder with chronic cholecystitis may show a thickened wall, presence of stones, and a contracted appearance.

Liver Fibrosis Indicators

  • Features of liver fibrosis on ultrasound include an echogenic liver and a nodular surface.

Hepatocellular Carcinoma Appearance

  • Hepatocellular carcinoma can be identified on ultrasound by an irregular, hypoechoic mass which may exhibit necrosis, hemorrhage, and vascular invasion.

Imaging Techniques for Liver Lesions

  • Contrast-enhanced ultrasound, CT, and MRI are key techniques used to differentiate between benign and malignant liver lesions.

Gallbladder Cancer Symptoms

  • Main clinical presentations of gallbladder cancer include jaundice, abdominal pain, weight loss, and a palpable mass.

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