Liver mass history and symptoms: Difference between revisions
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==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> | |||
==== Personal history ==== | |||
:*Age | :*Age | ||
:*Gender | :*Gender | ||
:* | :*Recent travel history | ||
==== Family history ==== | |||
:*Positive family history of liver diseases, such as: | :*Positive family history of liver diseases, such as: | ||
::*Crigler–Najjar | ::*Crigler–Najjar | ||
| Line 19: | Line 21: | ||
::*Dubin–Johnson syndrome | ::*Dubin–Johnson syndrome | ||
::*Rotors syndrome | ::*Rotors syndrome | ||
:* | |||
==== Social history ==== | |||
:* Positive history of smoking/alcohol abuse | |||
:** Number of alcoholic beverages per week | |||
:** Number of years/months of active alcohol abuse | |||
:** Number of years/months of alcohol cessation | |||
:* | |||
==== Past Medical History ==== | |||
:* Previous hepatitis infection, such as: | |||
:**Hepatitis C infection | |||
:**Hepatitis B infection | |||
:*History of chronic liver disease | :*History of chronic liver disease | ||
:* Use of contraceptives | |||
:*Use of contraceptives | |||
==Common Symptoms== | ==Common Symptoms== | ||
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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]
Personal history
- Age
- Gender
- Recent travel history
Family history
- Positive family history of liver diseases, such as:
- Crigler–Najjar
- Gilbert syndrome
- Dubin–Johnson syndrome
- Rotors syndrome
Social history
- Positive history of smoking/alcohol abuse
- Number of alcoholic beverages per week
- Number of years/months of active alcohol abuse
- Number of years/months of alcohol cessation
- Positive history of smoking/alcohol abuse
Past Medical History
- Previous hepatitis infection, such as:
- Hepatitis C infection
- Hepatitis B infection
- History of chronic liver disease
- Use of contraceptives
Common 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]
-
- Dull pain
- Pain radiating to the right scapular area or right shoulder