Characteristics of common solid liver lesions and recommendations for diagnostic workup

摘要: Due to the widespread clinical use of imaging modalities such as ultrasonography, computed tomography and magnetic resonance (MRI), previously unsuspected liver masses are increasingly being found in asymptomatic patients. This review discusses various characteristics most common solid lesions recommends a practical approach for diagnostic workup. Likely diagnoses include hepatocellular carcinoma (the likely; lesion cirrhotic liver) hemangioma (generally presenting mass non-cirrhotic liver). Focal nodular hyperplasia hepatic adenoma should be ruled out young women. In 70% cases, MRI with gadolinium differentiates between these lesions. Fine needle core biopsy or aspiration, both, might required doubtful cases. If uncertainty persists nature lesion, surgical resection is recommended. patient known have primary malignancy was at tumor staging follow up, histology only when doubtful.