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[Liver tumors in children]

H Tschäppeler1

  • 1Institut für Diagnostische Radiologie, Röntgenabteilung, Universitäts-Kinderklinik, Inselspital, Bern.

Der Radiologe
|December 1, 1993
PubMed
Summary

Accurate diagnosis of hepatic mass lesions relies on imaging, but histopathology confirms the final diagnosis. Radical surgery is the primary treatment for malignant liver neoplasms, requiring comprehensive pre-operative imaging information.

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Area of Science:

  • Hepatobiliary imaging
  • Diagnostic radiology
  • Surgical oncology

Background:

  • Hepatic mass lesions require accurate evaluation for effective treatment planning.
  • Histopathological examination remains the gold standard for definitive diagnosis.
  • Radical surgery is the preferred treatment for primary malignant hepatic neoplasms.

Purpose of the Study:

  • To outline the role of various imaging modalities in the evaluation of hepatic mass lesions.
  • To emphasize the importance of pre-operative imaging for surgical planning.
  • To discuss the current status of different imaging techniques in diagnosing liver neoplasms.

Main Methods:

  • Sonography as the initial diagnostic procedure.
  • Magnetic Resonance Imaging (MRI) as a primary supplementary modality.
  • Computed Tomography (CT) as an alternative to MRI.
  • Limited use of Scintigraphy and Angiography in selected cases.

Main Results:

  • Sonography is the first-line imaging technique for hepatic masses.
  • MRI is frequently used as a follow-up to sonography.
  • CT serves as a viable alternative to MRI for lesion characterization.
  • Older techniques like scintigraphy and angiography have diminished roles.

Conclusions:

  • Imaging plays a crucial role in evaluating hepatic mass lesions, guiding surgical planning.
  • While imaging aids diagnosis, histopathology is essential for confirmation.
  • Sonography, MRI, and CT are the key imaging modalities for hepatic neoplasms.

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