You are a young lady with a complicated history.
You probably were on oral contraceptives for a period of time,
which is the most common cause for Hepatic Adenomas.In some,
it is associated with diabetes
, glucogen storage disease etc.
You had a major complication of rupture and bleeding and
fortunately they were able to stop the bleeding and replace your
The latest tumor
size is 8 cm. which is still large.
Reviewing the literature, any tumor larger than 5 cm. should be
resected mainly because of risk of hemorrhage but also due to
potential malignant transformation
(Increased cancer risk).
Most experts advice to wait till a reasonable period of observation
after the OCP's have been stopped.
I am sure they have also tested blood for AFP (Alpha feto protein) levels.
Majority of patients will have partial removal of liver lobe.
carries about 13% morbidity but mortality is rare.
If done as emergency , death rate goes up to 5-8% and complication
rates are higher.
can be taken out at the same time .
What you need to look for is an established university hospital
with experts in liver surgery
. You can do research on line with
help from your doctors.
I am sure your symptoms are from all the scarring and healing
process and hopefully it will improve with time. That might take
This is a difficult position to be in , but I wish you the very best.