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Practice Guideline
. 2021 Sep;76(9):661-665.

[Diagnosis and management of liver cysts]

[Article in French]
L Klein  1 , N Meurisse  1 , P Honoré  1 , A De Roover  1 , O Detry  1
Affiliations
  • PMID: 34477336
Free article
Practice Guideline

[Diagnosis and management of liver cysts]

[Article in French]
L Klein et al. Rev Med Liege. 2021 Sep.
Free article

Abstract
in English, French

Cystic hepatic lesions are frequent and sometimes large. They are generally asymptomatic and discovered by chance. The differential diagnosis of these lesions includes congenital, post-traumatic, benign or malignant tumors, as well as infectious pathologies. Conventional or contrast ultrasonography, abdominal computed tomography and magnetic resonance imaging can be used to characterize them. Therapeutic abstention with or without iconographic monitoring constitutes the optimal management of many benign liver cysts without clinical repercussions. Treatments for symptomatic or potentially aggressive lesions may include fenestration, puncture with sclerotherapy, or surgical resection. In this article, the authors discuss how to diagnose and treat the various hepatic cystic lesions.

Les lésions kystiques hépatiques sont fréquentes et parfois volumineuses. Elles sont généralement asymptomatiques et de découverte fortuite. Le diagnostic différentiel de ces lésions inclut des pathologies congénitales, post-traumatiques, tumorales bénignes ou malignes ainsi qu’infectieuses. L’échographie conventionnelle ou avec contraste, le scanner abdominal et la résonance magnétique nucléaire peuvent être utilisés pour les caractériser. L’abstention thérapeutique, avec ou sans surveillance iconographique, constitue la prise en charge optimale de nombreux kystes bénins sans répercussion clinique. Les traitements des lésions symptomatiques ou potentiellement agressives peuvent inclure la fenestration, la ponction avec sclérothérapie ou la résection chirurgicale. Dans cet article, les auteurs discutent des modalités de diagnostic et de traitement des diverses lésions kystiques hépatiques.

Keywords: Abscess; Cancer; Cyst; Cystadenocarcinoma; Cystadenoma; Echinococcosis; Liver transplantation; Polykystosis; Surgery; Liver.

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