All are true about liver adenoma except
Clinical features Symptomatic ( upper abdominal pain) in 50-75%, related to hemorrhage or local compressive symptoms Two major risks - Rupture and malignant transformation Pathology Composed of cords of benign hepatocytes containing increased glycogen and fat, without bile ductules, fibrous septa, poal tracts or central vein Normal architecture of the liver is not seen in these lesions Central large plates of hepatocytes separated by dilated sinusoids which are perfused solely by peripheral aerial feeding vessels(lack poal venous supply), under aerial pressure Hemorrhage and necrosis are commonly seen
Normal liver architecture
Increased fat
Increased glycogen
Cells arranged in cords
G.I.T