Liver mass history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The hallmark symptoms of liver mass, include | The hallmark symptoms of liver mass, include right upper quadrant [[abdominal pain]], [[pruritus]], and unintentional [[weight loss]]. However, in some cases, liver masses may be asymptomatic. A positive history of [[chronic hepatitis]], [[cirrhosis]], [[nonalcoholic fatty liver disease]], prolonged [[contraceptive]] use, and [[alcohol abuse]] may be suggestive of a liver mass. Symptoms related with liver mass will vary depending on the size and location of the [[tumor]]. Other symptoms of liver mass may also include loss of appetite, [[fatigue]], [[nausea, and vomiting]].<ref name="pmid14765767">{{cite journal |vauthors=Roche SP, Kobos R |title=Jaundice in the adult patient |journal=Am Fam Physician |volume=69 |issue=2 |pages=299–304 |year=2004 |pmid=14765767 |doi= |url=}}</ref><ref name="pmid22541698">{{cite journal |vauthors=Bonder A, Afdhal N |title=Evaluation of liver lesions |journal=Clin Liver Dis |volume=16 |issue=2 |pages=271–83 |year=2012 |pmid=22541698 |doi=10.1016/j.cld.2012.03.001 |url=}}</ref> | ||
==History== | ==History== | ||
Obtaining the history is an important aspect of making a diagnosis of liver mass. Complete history will help determine the likelihood of malignancy, and the association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:<ref name="pmid22541698">{{cite journal |vauthors=Bonder A, Afdhal N |title=Evaluation of liver lesions |journal=Clin Liver Dis |volume=16 |issue=2 |pages=271–83 |year=2012 |pmid=22541698 |doi=10.1016/j.cld.2012.03.001 |url=}}</ref> | Obtaining the history is an important aspect of making a diagnosis of liver mass. Complete history will help determine the likelihood of [[malignancy]], and the association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:<ref name="pmid22541698">{{cite journal |vauthors=Bonder A, Afdhal N |title=Evaluation of liver lesions |journal=Clin Liver Dis |volume=16 |issue=2 |pages=271–83 |year=2012 |pmid=22541698 |doi=10.1016/j.cld.2012.03.001 |url=}}</ref> | ||
{| border="1" cellpadding="5" cellspacing="0" align="center" |class="wikitable" | {| border="1" cellpadding="5" cellspacing="0" align="center" |class="wikitable" | ||
|- style="background:#efefef;" | | |- style="background:#efefef;" | | ||
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|Family history | |Family history | ||
|Positive family history of liver diseases, such as: | |Positive family history of liver diseases, such as: | ||
*[[Crigler–Najjar]] | *[[Crigler-Najjar syndrome|Crigler–Najjar syndrome]] | ||
*[[Gilbert syndrome]] | *[[Gilbert syndrome]] | ||
*[[Dubin–Johnson syndrome]] | *[[Dubin-Johnson syndrome|Dubin–Johnson syndrome]] | ||
*[[ | *[[Rotor syndrome|Rotor's syndrome]] | ||
|- | |- | ||
|Past Medical History | |Past Medical History | ||
| | | | ||
* Previous hepatitis infection, such as: | * Previous [[hepatitis]] infection, such as: | ||
**Hepatitis C infection | **[[Hepatitis C]] infection | ||
**Hepatitis B infection | **[[Hepatitis B]] infection | ||
*History of chronic liver disease | *History of [[chronic liver disease]] | ||
* Use of contraceptives | * Use of [[Birth control|contraceptives]] | ||
|- | |- | ||
|Social history | |Social history | ||
|Positive history of smoking/alcohol abuse | |Positive history of [[smoking]]/[[Alcoholism|alcohol abuse]]: | ||
* Number of alcoholic beverages per week | * Number of alcoholic beverages per week | ||
* Number of years/months of active alcohol abuse | * Number of years/months of active [[Alcoholism|alcohol abuse]] | ||
* Number of years/months of alcohol cessation | * Number of years/months of alcohol cessation | ||
|} | |} | ||
| Line 43: | Line 43: | ||
==Symptoms== | ==Symptoms== | ||
*In most cases, liver masses are [[asymptomatic]] and are usually found incidentally. | *In most cases, liver masses are [[asymptomatic]] and are usually found incidentally. | ||
*The hallmark symptoms of liver mass | *The hallmark symptoms of liver mass may include right upper quadrant [[abdominal pain]], [[Itch|pruritus]], and unintentional [[weight loss]]. | ||
*Other symptoms that suggest liver mass, include:<ref name="pmid14765767">{{cite journal |vauthors=Roche SP, Kobos R |title=Jaundice in the adult patient |journal=Am Fam Physician |volume=69 |issue=2 |pages=299–304 |year=2004 |pmid=14765767 |doi= |url=}}</ref> | *Other symptoms that suggest liver mass, include:<ref name="pmid14765767">{{cite journal |vauthors=Roche SP, Kobos R |title=Jaundice in the adult patient |journal=Am Fam Physician |volume=69 |issue=2 |pages=299–304 |year=2004 |pmid=14765767 |doi= |url=}}</ref> | ||
**[[Abdominal pain]] | **[[Abdominal pain]] | ||
Revision as of 20:50, 29 November 2018
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Liver Mass Microchapters |
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Liver mass history and symptoms On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
The hallmark symptoms of liver mass, include right upper quadrant abdominal pain, pruritus, and unintentional weight loss. However, in some cases, liver masses may be asymptomatic. A positive history of chronic hepatitis, cirrhosis, nonalcoholic fatty liver disease, prolonged contraceptive use, and alcohol abuse may be suggestive of a liver mass. Symptoms related with liver mass will vary depending on the size and location of the tumor. Other symptoms of liver mass may also include loss of appetite, fatigue, nausea, and vomiting.[1][2]
History
Obtaining the history is an important aspect of making a diagnosis of liver mass. Complete history will help determine the likelihood of malignancy, and the association with other conditions. Specific symptoms description such as duration, onset, and progression are important for making the diagnosis. Specific areas of focus when obtaining the history, are outlined below:[2]
| History | |
|---|---|
| Personal history |
|
| Family history | Positive family history of liver diseases, such as: |
| Past Medical History |
|
| Social history | Positive history of smoking/alcohol abuse:
|
Symptoms
- In most cases, liver masses are asymptomatic and are usually found incidentally.
- The hallmark symptoms of liver mass may include right upper quadrant abdominal pain, pruritus, and unintentional weight loss.
- Other symptoms that suggest liver mass, include:[1]
- Abdominal pain
- Dull pain
- Pain radiating to the right scapular area or right shoulder
- Cachexia
- Fatigue
- Loss of appetite or anorexia
- Chest pain
- Generalized pruritus
- Nausea and vomiting
- Abdominal pain