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Multiple Choice

Which mass is the second most common benign liver mass?

The second most common benign liver mass is focal nodular hyperplasia. Cavernous hemangioma is the most common benign liver tumor, often an incidental finding with no symptoms. FNH, while also benign, is more common in women of reproductive age and usually presents as a solitary lesion. Imaging typically reveals a central scar and characteristic enhancement patterns on CT or MRI, which, along with a normal alpha-fetoprotein level, helps distinguish it from malignant lesions such as hepatoblastoma (common in children with elevated AFP) and hepatocellular carcinoma ( hepatoma), which usually arises in the setting of cirrhosis or chronic liver disease and shows different vascular enhancement.

The second most common benign liver mass is focal nodular hyperplasia. Cavernous hemangioma is the most common benign liver tumor, often an incidental finding with no symptoms. FNH, while also benign, is more common in women of reproductive age and usually presents as a solitary lesion. Imaging typically reveals a central scar and characteristic enhancement patterns on CT or MRI, which, along with a normal alpha-fetoprotein level, helps distinguish it from malignant lesions such as hepatoblastoma (common in children with elevated AFP) and hepatocellular carcinoma ( hepatoma), which usually arises in the setting of cirrhosis or chronic liver disease and shows different vascular enhancement.