45-Year-Old Woman Successfully Treated for Hepatocellular Adenoma After Early Detection
In this case study, a 45-year-old woman was diagnosed with hepatocellular adenoma following the discovery of a liver mass during a routine health check-up. Due to concerns about potential malignancy, she sought further evaluation and ultimately underwent successful surgical removal of the tumor. Postoperative recovery was smooth, and the patient is now in excellent health.
Patient Profile: Female, 45 years old
Diagnosis: Hepatocellular Adenoma
Hospital: Liaocheng People's Hospital
Date of Treatment: November 2021
Treatment: Surgical resection (liver tumor removal)
Hospitalization: 10 days
Outcome: Complete tumor removal, full recovery
Initial Consultation and Concerns
The patient visited the hospital after detecting a liver lesion during a company health screening. Although she was asymptomatic with normal appetite and energy levels, she expressed concerns about the possibility of liver cancer. With a known history of chronic hepatitis B, the risk of malignant transformation was a significant concern. Given the prevalence of hepatocellular carcinoma in patients with chronic hepatitis B in China, prompt investigation was warranted.
Diagnostic Process and Treatment Plan
Upon admission, tests confirmed that the patient was HBV-positive (small three positive). Tumor markers such as AFP and CA199 were within normal ranges. Contrast-enhanced abdominal CT and MRI scans revealed a highly vascularized lesion but ruled out typical features of hepatocellular carcinoma. The tumor's nature remained unclear, prompting a discussion with the patient and family about the next steps. Two options were presented: surgical excision with histopathological analysis or biopsy. Given the risk of seeding malignancy with biopsy, the family opted for surgery.
Successful Surgical Intervention
Under general anesthesia, a liver tumor resection was performed. Postoperative pathology confirmed hepatocellular adenoma, a benign condition. The patient received standard postoperative care, including liver protection and infection prevention. Recovery was uneventful, and she was discharged in good condition.
Post-Treatment Recovery and Outlook
Early detection and prompt treatment were key to the patient's successful outcome. The benign nature of the tumor brought relief to both the patient and her family. Thanks to her young age and good physical condition, she recovered quickly. As hepatocellular adenoma does not typically recur after complete excision, the patient has effectively achieved clinical remission.
Post-Operative Care and Follow-Up
Following surgery, the patient was advised to rest and gradually increase nutrient intake to support recovery. Normal activities and work were resumed within a month. However, due to her underlying hepatitis B, regular monitoring is essential to prevent progression to cirrhosis or liver cancer.
Medical Insights and Final Thoughts
Hepatocellular adenoma is a benign liver tumor, but its diagnosis can be challenging, especially in patients with chronic hepatitis B. This case highlights the importance of early detection and timely intervention. While surgical removal provides excellent outcomes, ongoing liver function monitoring remains crucial. This patient's story serves as a reminder of the value of proactive health management and early medical consultation.