"Incidentaloma" of the liver: management of a diagnostic and therapeutic dilemma.

摘要: The continuous development of highly sensitive clinical imaging increased the detection focal lesions liver. These accidentally detected liver tumors without liver-specific symptoms such as cholestasis have been named “incidentalomas.” Diagnostic tools sonography, computed tomography, or magnetic resonance are used increasingly in asymptomatic individuals defined suspected diagnoses setting general prevention followup after a history malignancy. But despite improvement diagnostics, some doubt regarding benign malign behavior tumor remains. In case an hemangioma FNH can be preoperatively with certainty, indication for surgery must very strict. symptomatic surgical resection should only indicated tumor-specific symptoms. remaining cases liver, “watch and wait” strategy is recommended. uncertain diagnosis, especially patients positive malignant diagnosis hepatocellular adenoma, indicated. Due to techniques, done laparoscopic technique. Laparoscopic has lower morbidity shorter hospitalization than open