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[Benign liver tumors : Diagnostics and treatment]
H-M Tautenhahn1,2,3, U Dahmen4, I Diamantis5
1Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, Jena, 07747, Deutschland. Hans-Michael.Tautenhahn@med.uni-jena.de.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 1, 2019
Summary
Benign liver tumors are usually found incidentally and rarely become malignant. Imaging and biopsy help differentiate tumors, with resection recommended if malignancy is suspected.
Area of Science:
- Hepatology
- Oncology
- Radiology
Background:
- Benign liver tumors are frequently discovered during routine imaging like ultrasounds.
- A small subset of benign liver tumors possess the potential for malignant transformation.
- Distinguishing benign from malignant liver tumors is crucial for patient management.
Purpose of the Study:
- To outline the diagnostic and management strategies for incidentally detected liver tumors.
- To emphasize the importance of differentiating benign from malignant liver lesions.
- To provide guidance on surgical intervention when malignancy is suspected.
Main Methods:
- Review of diagnostic imaging modalities (ultrasound, CT, MRI) for liver tumor characterization.
- Discussion of the role of percutaneous liver biopsy in cases of diagnostic uncertainty.
- Evaluation of criteria for surgical resection of liver tumors.
Main Results:
- Imaging procedures are the primary method for differentiating benign from malignant liver tumors.
- Percutaneous liver biopsy offers clarification in ambiguous diagnostic scenarios.
- Partial liver resection is indicated when malignancy is confirmed or cannot be definitively excluded.
Conclusions:
- Incidental liver tumors require careful evaluation to rule out malignancy.
- A combination of imaging and, if necessary, biopsy guides treatment decisions.
- Surgical resection remains the definitive treatment for liver tumors with suspected or uncertain malignancy.

