Liver adenoma

Liver adenoma is a rare benign tumour of liver cells; it occurs more often in women and is sometimes associated with oestrogen treatments such as the contraceptive pill or HRT. They can also be related to other steroid hormone treatments and drugs, including anabolic steroids used in body building. We frequently operate and remove adenomas as there is a small but significant risk that they can rupture and bleed heavily, a small number may also turn cancerous in the long term. Some small adenomas may regress and disappear if oestrogen treatments are stopped, although this phenomenon is well reported in the medical literature it is rarely seen in clinical practice hence we usually end up removing these tumours, often as a keyhole operation.

If the tumours bleed we often embolise them (see below) to block off the bleeding blood vessel, before removing the tumour at a later date.

Multiple adenomas (or adenomata) arising simultaneously in a patient are most commonly related to hormone treatments. Large or symptomatic tumours are usually removed and smaller ones embolised, we will follow you up long term if you have had this pattern of liver disease. Very rarely liver transplant has been required for patients with multiple adenomata.