PROPER MANAGEMENT OF HEPATIC ADENOMA ASSOCIATED WITH ORAL-CONTRACEPTIVES

  • 1 January 1977
    • journal article
    • research article
    • Vol. 144  (5) , 703-706
Abstract
Four patients with oral contraceptive associated hepatic adenoma were studied and the literature was reviewed. These patients can be divided into ruptured and nonruptured hepatoma groups. In ruptured hepatomas, resection only sufficient to control hemorrhage definitely is recommended. In nonruptured hepatomas, major resection should only by attempted by skilled surgeons, and small multiple lesions should be observed. These management principles will deserve reevaluation as more experience with these tumors accumulates. Until then, a conservative approach is indicated. This includes the avoidance of oral contraception until the biochemistry of these tumors is better clarified.

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