[Hepatic pseudolesions adjacent to the falciform ligament]

Area of Science:

• Radiology and Medical Imaging
• Hepatology
• Pathology

Background:

• Accurate differentiation of hepatic pseudolesions from malignant lesions is critical in multi-detector CT and MRI.
• Distinguishing benign alterations from primary and secondary hepatic malignancies requires precise imaging interpretation.

Purpose of the Study:

• To review the literature on hepatic pseudolesions.
• To present clinical experience with hepatic pseudolesions.
• To emphasize the importance of correct interpretation in oncologic patients.

Main Methods:

• Systematic literature review using PubMed (2000-2014) with keywords 'liver' and 'pseudolesion'.
• Retrospective evaluation of 7 patients with hepatic pseudolesions.
• Diagnostic laparoscopy, intraoperative ultrasound (IOUS), and histological assessment for diagnosis.

Main Results:

• Literature review and case series presented.
• Histological confirmation of steatotic lesions in 5 out of 7 patients.
• Malignant changes were excluded in all evaluated cases.

Conclusions:

• Correct interpretation of hepatic pseudolesions can prevent unnecessary interventions.
• Interdisciplinary cooperation is valuable for managing these cases.
• Avoidance of unnecessary biopsies, imaging, and surgical procedures is a key benefit.