Investigation and management of hepatic incidentalomas

作者: James Fergusson

DOI: 10.1111/J.1440-1746.2012.07236.X

关键词: MedicineAnxietyIncidentalomaMedical imagingMagnetic resonance imagingAsymptomaticGeneral surgeryNatural courseIntervention (counseling)Focal nodular hyperplasia

摘要: With the widespread use of medical imaging has come detection incidental liver lesions that are, by and large, asymptomatic prior to their discovery. These may become a source anxiety often require further investigation reassure patient usually benign nature. Use contemporary hepatobiliary simple laboratory tests allow definite diagnosis be made without resorting exhaustive or inappropriate surgery. The goal this paper is review clinical features characteristics common important incidentalomas, natural course, complications, indications for surgical other intervention.

参考文章(22)
Benjamin C. Yan, John A. Hart, Recent developments in liver pathology. Archives of Pathology & Laboratory Medicine. ,vol. 133, pp. 1078- 1086 ,(2009) , 10.1043/1543-2165-133.7.1078
Paulette Bioulac-Sage, Hervé Laumonier, Gabrielle Couchy, Brigitte Le Bail, Antonio Sa Cunha, Anne Rullier, Christophe Laurent, Jean-Frédéric Blanc, Gaelle Cubel, Hervé Trillaud, Jessica Zucman-Rossi, Charles Balabaud, Jean Saric, Hepatocellular adenoma management and phenotypic classification: The Bordeaux experience Hepatology. ,vol. 50, pp. 481- 489 ,(2009) , 10.1002/HEP.22995
O. M. Jones, M. Rees, T. G. John, S. Bygrave, G. Plant, Biopsy of resectable colorectal liver metastases causes tumour dissemination and adversely affects survival after liver resection British Journal of Surgery. ,vol. 92, pp. 1165- 1168 ,(2005) , 10.1002/BJS.4888
Yuan-Hung Kuo, Jing-Houng Wang, Sheng-Nan Lu, Chao-Hung Hung, Yu-Ching Wei, Tsung-Hui Hu, Chien-Hung Chen, Yi-Hao Yen, Chuan-Mo Lee, Hock-Liew Eng, Natural course of hepatic focal nodular hyperplasia: a long-term follow-up study with sonography. Journal of Clinical Ultrasound. ,vol. 37, pp. 132- 137 ,(2009) , 10.1002/JCU.20533
Giovanni Morana, Elisabetta Salviato, Alessandro Guarise, Contrast agents for hepatic MRI. Cancer Imaging. ,vol. 7, ,(2007) , 10.1102/1470-7330.2007.9001
Paulette Bioulac-Sage, Charles Balabaud, Jessica Zucman-Rossi, Subtype Classification of Hepatocellular Adenoma Digestive Surgery. ,vol. 27, pp. 39- 45 ,(2010) , 10.1159/000268406
Valérie Paradis, Benign liver tumors: an update. Clinics in Liver Disease. ,vol. 14, pp. 719- 729 ,(2010) , 10.1016/J.CLD.2010.07.008
J. M. Little, J. Kenny, M. J. Hollands, Hepatic incidentaloma: A modern problem World Journal of Surgery. ,vol. 14, pp. 448- 451 ,(1990) , 10.1007/BF01658665
Munazza Anis, Abid Irshad, Imaging of Hepatocellular Carcinoma: Practical Guide to Differential Diagnosis Clinics in Liver Disease. ,vol. 15, pp. 335- 352 ,(2011) , 10.1016/J.CLD.2011.03.014
Luigi Grazioli, Maria Pia Bondioni, Niccolò Faccioli, Sebastiana Gambarini, Rita Tinti, Günther Schneider, Miles Kirchin, Solid focal liver lesions: dynamic and late enhancement patterns with the dual phase contrast agent gadobenate dimeglumine. Journal of Gastrointestinal Cancer. ,vol. 41, pp. 221- 232 ,(2010) , 10.1007/S12029-010-9145-0