Clinical Background: A 34-year-old female presents to the clinic with complaints of intermittent abdominal discomfort and a feeling of fullness in the upper right quadrant. She has no significant past medical or surgical history. She denies any recent weight loss, fever, or jaundice. On examination, her vitals are stable, and a mild hepatomegaly is noted.Investigations: Laboratory results show normal liver function tests. An abdominal ultrasound followed by MRI reveals a 4 cm well-circumscribed mass in the right lobe of the liver, suggestive of a hepatic adenoma.Differential Diagnosis: 1. Hepatic adenoma2. Focal nodular hyperplasia3. Hepatocellular carcinomaManagement: The patient is counseled about the benign nature of the tumor, potential complications, and management options. Surgical resection is considered due to the size of the lesion and the patient's symptomatic status.Points to Ponder:- Hepatic adenomas are rare benign liver tumors, often asymptomatic, and discovered incidentally.- They are associated with oral contraceptive use and anabolic steroid use.- The risk of complications like rupture and hemorrhage increases with the size of the adenoma.- Management decisions should be individualized based on tumor size, symptoms, and patient preferences.

Case Study 1: Benign Liver Tumor

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