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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 Pathologe
|February 28, 2020
Summary
Benign liver tumors are typically found incidentally and rarely become malignant. Imaging is used for diagnosis, with biopsy and surgical resection reserved for uncertain or suspicious cases.
Area of Science:
- Hepatology
- Oncology
- Radiology
Background:
- Benign liver tumors are frequently discovered during routine imaging studies.
- Malignant transformation of benign liver tumors is uncommon.
- Accurate differentiation between benign and malignant liver lesions is crucial for patient management.
Purpose of the Study:
- To outline the diagnostic and management strategies for incidentally detected benign liver tumors.
- To emphasize the importance of distinguishing benign from malignant liver masses.
Main Methods:
- Review of diagnostic imaging modalities (e.g., ultrasound, CT, MRI) for liver tumor characterization.
- Discussion of the role of transcutaneous liver biopsy in cases of diagnostic uncertainty.
- Consideration of surgical intervention, specifically partial liver resection, for suspected or confirmed malignancy.
Main Results:
- The majority of benign liver tumors are diagnosed non-invasively through imaging.
- Transcutaneous liver biopsy provides diagnostic clarification when imaging is inconclusive.
- Surgical resection is indicated when malignancy is suspected or cannot be ruled out.
Conclusions:
- Incidental liver lesions require careful evaluation to exclude malignancy.
- A stepwise approach involving imaging, biopsy, and potentially resection ensures appropriate management of liver tumors.

