Rare cystic liver lesions: A diagnostic and managing challenge  

作　　者：Andreas Bakoyiannis Spiros Delis Charina Triantopoulou Christos Dervenis 

机构地区：[1]First Surgical Department-HPB Surgical Unit,Konstantopouleion Agia Olga General Hospital,14233 Athens,Greece [2]Radiology Department,Konstantopouleion Agia Olga General Hospital,14233 Athens,Greece

出　　处：《World Journal of Gastroenterology》2013年第43期7603-7619,共17页世界胃肠病学杂志（英文版）

摘　　要：Cystic formations within the liver are a frequent finding among populations.Besides the common cystic lesions,like simple liver cysts,rare cystic liver lesions like cystadenocarcinoma should also be considered in the differential diagnosis.Thorough knowledge of each entity’s nature and course are key elements to successful treatment.Detailed search in PubMed,Cochrane Database,and international published literature regarding rare cystic liver lesions was carried out.In our research are included not only primary rare lesions like cystadenoma,hydatid cyst,and polycystic liver disease,but also secondary ones like metastasis from gastrointestinal stromal tumors lesions.Up-to date knowledge regarding diagnosis and management of rare cystic liver lesions is provided.A diagnostic and therapeutic algorithm is also proposed.The need for a multidisciplinary approach by a team including radiologists and surgeons familiar with liver cystic entities,diagnostic tools,and treatment modalities is stressed.Patients with cystic liver lesions must be carefully evaluated by a multidisciplinary team,in order to receive the most appropriate treatment,since many cystic liver lesions have a malignant potential and evolution.Cystic formations within the liver are a frequent finding among populations. Besides the common cystic lesions, like simple liver cysts, rare cystic liver lesions like cystadenocarcinoma should also be considered in the differential diagnosis. Thorough knowledge of each entity’s nature and course are key elements to successful treatment. Detailed search in PubMed, Cochrane Database, and international published literature regarding rare cystic liver lesions was carried out. In our research are included not only primary rare lesions like cystadenoma, hydatid cyst, and polycystic liver disease, but also secondary ones like metastasis from gastrointestinal stromal tumors lesions. Up-to date knowledge regarding diagnosis and management of rare cystic liver lesions is provided. A diagnostic and therapeutic algorithm is also proposed. The need for a multidisciplinary approach by a team including radiologists and surgeons familiar with liver cystic entities, diagnostic tools, and treatment modalities is stressed. Patients with cystic liver lesions must be carefully evaluated by a multidisciplinary team, in order to receive the most appropriate treatment, since many cystic liver lesions have a malignant potential and evolution.

关 键 词：LIVER CYST CYSTIC tumor Hepatic lesion Gastrointestinal stromal tumors Metastases CYSTADENOMA CYSTADENOCARCINOMA HYDATID CYST Polycystic LIVER disease Caroli Echinococcus 

分 类 号：R657.3[医药卫生—外科学]