<prompt> Which of the following liver tumor is likely to develop in females taking oral contraceptives?HepatomaLymphomaFocal nodular hyperplasiaHepatic adenoma  <response>: Ans. d. Hepatic adenomaHEPATIC ADENOMA Hepatocellular adenoma is benign tumor of hepatocytes. It is most frequent hepatic tumor in young women after use of oral contraceptive steroids. It is usually single. Predisposing factors include:- OC pills,anabolic steroids, - pregnancy,DM, Von-Gierke type la. Differential diagnosis:- Fibrolamellar HCC large lobulated mass with scar and septae- Focal nodular hyperplasia homogeneously enhancing mass and central scar on delayed CECT.- Hypervascular mets which are isohypodense on delayed phase. Treatment:- 6 cm --conservative; 6cm --Surgery avoid pregnancy due to risk of rupture.- By 2nd or 3rd decade of life most patients with glycogen storage disease type I develop hepatic adenomas that can cause hemorrhage spontaneously in some cases, become malignant . 