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Updated: Feb 9, 2026
03:57
Electrochemotherapy of Tumours
Published on: December 15, 2008
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Indications for liver surgery in benign tumours
Margot Fodor1, Florian Primavesi1, Eva Braunwarth1
11Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria.
European Surgery : ACA : Acta Chirurgica Austriaca
|June 8, 2018
Summary
Conservative management is a growing trend for benign liver tumors (BLT). While generally safe, high-quality evidence is lacking, necessitating further research into optimal patient selection and treatment strategies for these common liver lesions.
Area of Science:
- Hepatology
- Surgical Oncology
- Gastroenterology
Background:
- Management of benign liver tumors (BLT) remains debated, with uncertainties in patient selection, treatment details, surgical indications, and complication risks.
- Current strategies for common benign solid liver tumors are reviewed, offering practical recommendations.
Purpose of the Study:
- To recapitulate up-to-date management strategies for common benign solid liver tumors.
- To present recommendations for practical issues in BLT management.
Main Methods:
- A PubMed literature search was conducted to identify peer-reviewed publications addressing major controversies in BLT treatment.
- Data from non-randomized controlled trials, retrospective series, and case reports were selected.
Main Results:
- Conservative management of BLT shows low morbidity and mortality in selected patients.
- Surgical intervention is reserved for symptomatic cases or suspected malignancy; linking symptoms to BLT requires caution.
- Malignant transformation is not observed in hemangiomas and focal nodular hyperplasia (FNH), but occurs in a subset of hepatocellular adenoma (HCA). Routine long-term follow-up is unnecessary after 3-6 months of stability.
Conclusions:
- Conservative management of solid BLT is a global trend, though high-grade evidence is limited.
- Further prospective studies are needed to address unresolved questions in BLT management.
- This article provides practical insights into therapeutic strategies for benign liver tumors.
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