Focal liver lesions found incidentally

Algarni, Abdulrahman D; Alshuhri, Abdullah H; Alonazi, Majed M; Mourad, Moustafa Mabrouk; Bramhall, Simon R.

doi:10.4254/wjh.v8.i9.446

Cited by 18 publications

(16 citation statements)

References 34 publications

(17 reference statements)

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“…However, the diagnosis of FCLs can sometimes be inaccurate, as it depends on the performer and the ultrasound device. Therefore, USG should be used as a screening test, and advanced tests such as CT, MR, Elastography, CEUS, and PET should also be used for the definition of the lesion when necessary [2,3,4].…”

Section: Dıagnosıs Of Fcls Ultrasonography (Usg)mentioning

confidence: 99%

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Follow-Up Strategies in Focal Liver Lesions and Treatment Methods

Göral¹,

Goral²

2021

J Gast Hepa Rep

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Today, advances in cross-sectional imaging have led to the detection and early recognition of incidental/focal liver lesions (FCL). In approximately 17,000 cases of chest CT, incidental liver lesions were found in 6% [1]. In general, FCL consists of hepatocytes, biliary epithelium, mesenchymal tissue, connective tissue, or metastasized cells from distant sites. Most incidental lesions are benign, some may require careful management and treatment. In evaluating the lesion, the patient’s clinical history, underlying disease and age factor should be considered. FCL can be detected at a rate of 10-30% in normal healthy and chronic liver disease patients, and even in oncology patients with malignancy, FCLs can be highly benign (50-80%).

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Section: Dıagnosıs Of Fcls Ultrasonography (Usg)mentioning

confidence: 99%

“…In multiphasic studies, patients who will benefit from these protocols should be carefully selected because the dose is increased. Renal function tests should be checked before contrast is given, and iodinated contrast material should not be used in patients with stage 3-4 CRF [4,5].…”

Section: Computed Tomographymentioning

confidence: 99%

Follow-Up Strategies in Focal Liver Lesions and Treatment Methods

Göral¹,

Goral²

2021

J Gast Hepa Rep

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“…Exclusion criteria were patients with end stage cancer, those who refused treatment, cases of sever cardiorespiratory problems that cannot withstand major hepatic surgery, and those with chronic liver cirrhosis. The preoperative demographic and clinical characteristics are presented in table (1). Fourteen patients were asymptomatic and discovered accidently during imaging for other complains, while [16] -9]).…”

Section: The Study Populationmentioning

confidence: 99%

“…Focal liver lesions (FLLs) are a group of liver pathologies with solid or liquidcontaining masses in the liver. They comprised most common reasons for consultation for hepatobiliary services.Most frequently, these lesions are detected in patients with liver cirrhosis or those with colorectal cancer [1].However, with the advent of advanced imaging modalities such as ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI), a large number of cases can be incidentally discovered during investigations for other complains. In one report, FLLs were recorded in up to 33% of radiological studies [2].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions

Hashim¹,

Abdul-Hassan²,

Hamad³

2018

DJM

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Background:Liver resection is the curative treatment for focal liver lesions. It is one of the high risk surgical procedures performed by experienced surgeons. Objective: To evaluate the different types of liver resections methods and associated factors related to morbidity and mortality in Gastroenterology Hospital and Baghdad Teaching Hospital. Patients and Methods: This prospective study included 35 patients (age range 28-58 years, 15 male and 20 female) with focal liver lesions during the period from November, 2013 to February 2016. Fourteen patients were asymptomatic while the other patients were complaining form different symptoms. Preoperative assessment included liver and renal function tests, tumor markers and radiological investigations. Patients were followed up for one month for postoperative short-term complications. Results: Bleeding was the most serious perioperative complication and all patients required blood transfusion. Eight hepatic resection methods were employed, and 8 types of lesions were detected, of which metastatic colorectal adenocarcinoma and cavernous hemangioma are the most prevalent (34.29% and 22.57% respectively). The duration of surgery ranged from 100 min in wedge resection to 300 min in different types of hepatectomy with average 8 days hospital stay. The most prevalent short-term complications were fever and atelectasis and wound infection (37.14% and 22.57% respectively). Conclusion:Most evaluation criteria are comparable with that reported in global series, and accordingly, our center could perform different types liver resection.

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“…As a result of imaging advances, ELI is frequently found in clinical practice 1,3. Although the lesions are often found because of clinical symptoms, they are sometimes incidentally detected during routine imaging checkups in patients with cancer or during regular checkups in healthy persons 4…”

Section: Introductionmentioning

confidence: 99%

What Are the Clinical Features and Etiology of Eosinophilic Liver Infiltration?

et al. 2019

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Background/AimsAlthough eosinophilic liver infiltration (ELI) is not rare, few data exist regarding its clinical characteristics and etiology. Therefore, we evaluated these aspects to better understand the clinical implications of this lesion type, which is reasonably common in Korea.MethodsPatients suspected of having ELI, based on abdominal computed tomography results obtained between January 2010 and September 2017, were enrolled in this retrospective study. The presumptive etiologies of ELI were categorized as parasite infections, hypereosinophilic syndrome (HES), eosinophilic granulomatosis with polyangiitis (EGPA), malignancies, and unidentified. Clinical courses and treatment responses were also evaluated.ResultsThe mean age of the enrolled patients (male, 237/328) was 62 years. Most patients (63%) were diagnosed incidentally and had peripheral eosinophilia (90%). Only 38% of the enrolled patients (n=126) underwent further evaluations to elucidate the etiology of the suspected ELI; 82 (25%) had parasite infections, 31 (9%) had HES, five (2%) had EGPA, and five (2%) had drug reactions in conjunction with eosinophilia and systemic symptoms. Almost half of the other enrolled patients had cancer. Radiologic resolution was achieved in 191 patients (61%; median time to radiologic resolution, 185 days). Resolution of peripheral eosinophilia was achieved in 220 patients (79%). In most cases, the course of ELI was benign.ConclusionsThis large ELI study is unique in that the incidence rate, underlying diseases, and clinical courses were comprehensively evaluated. Clinicians should investigate the etiology of ELI, as several of the underlying diseases require intervention rather than observation.

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Focal liver lesions found incidentally

Cited by 18 publications

References 34 publications

Follow-Up Strategies in Focal Liver Lesions and Treatment Methods

Follow-Up Strategies in Focal Liver Lesions and Treatment Methods

Evaluation of Hepatic Resection Procedures for Benign and Malignant Focal Liver Lesions

What Are the Clinical Features and Etiology of Eosinophilic Liver Infiltration?

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