Peer Reviewed
Feature Article Gastroenterology
Investigating asymptomatic solitary liver lesions
Abstract
Although most patients found to have a single asymptomatic liver lesion will have a benign disease, the possibility of malignancy must be remembered and assessed. Careful consideration is needed to provide a timely diagnosis, weighing up the costs and risks of investigations against the likely pathology.
Key Points
- Although most patients with a single asymptomatic liver lesion will have benign disease, the possibility of malignancy must be considered and assessed.
- In many cases noninvasive imaging techniques can be used to investigate solitary liver lesions.
- Invasive investigations, including angiography, biopsy and resection, may be needed to evaluate some asymptomatic liver lesions.
- The appearance of a liver lesion in a patient with a history of malignancy is an ominous finding.
- Solid or partially cystic mass lesions of the liver may be malignant and should be investigated further.
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