ArticleHPB surgery : a world journal of hepatic, pancreatic and biliary surgery2012
"Incidentaloma" of the liver: management of a diagnostic and therapeutic dilemma.
Article in HPB surgery : a world journal of hepatic, pancreatic and biliary surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Indocyanine green fluorescence navigation versus conventional laparoscopic hepatectomy for hepatic hemangioma: a propensity score matched study.Surgical endoscopy · 2026Article
- Giant Sclerosing Hepatic Hemangioma Presenting as Bornman-Terblanche-Blumgart Syndrome: a Case Report and Review of the Literature.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2023Review
- Surgical Management of Hepatic Benign Disease: Have the Number of Liver Resections Increased in the Era of Minimally Invasive Approach? Analysis from the I Go MILS (Italian Group of Minimally Invasive Liver Surgery) Registry.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Incidental findings in pancreas screening programs for high-risk individuals: Results from three European expert centers.United European gastroenterology journal · 2019Article
- Contrast-enhanced ultrasonography of the liver using SonoVue.Ultrasonography (Seoul, Korea) · 2018Review
- Outcome after a liver resection of benign lesions.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015Article
- The value of liver resection for focal nodular hyperplasia: resection yes or no?European journal of medical research · 2015Article
- Benign solid tumors of the liver: management in the modern era.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Review
- Improving patient notification of solid abdominal viscera incidental findings with a standardized protocol.Journal of trauma management & outcomes · 2015Article
- The predictive value of Golgi protein 73 in differentiating benign from malignant liver tumors.PloS one · 2014Article
- HYPERVASCULAR LIVER LESIONS IN RADIOLOGICALLY NORMAL LIVER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgeryArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The continuous development of highly sensitive clinical imaging increased the detection of focal lesions of the liver. These accidentally detected liver tumors without liver-specific symptoms such as cholestasis have been named "incidentalomas." Diagnostic tools such as sonography, computed tomography, or magnetic resonance imaging are used increasingly in asymptomatic individuals without defined suspected diagnoses in the setting of general prevention or followup after a history of malignancy. But despite continuous improvement of diagnostics, some doubt regarding the benign or malign behavior of a tumor remains. In case an asymptomatic hemangioma or FNH can be preoperatively detected with certainty, the indication for surgery must be very strict. In case of symptomatic liver lesions surgical resection should only be indicated with tumor-specific symptoms. In the remaining cases of benign lesions of the liver, a "watch and wait" strategy is recommended. In case of uncertain diagnosis, especially in patients with positive history of a malignant tumor or the suspected diagnosis of hepatocellular adenoma, surgical resection is indicated. Due to the continuous improvement of surgical techniques, liver resection should be done in the laparoscopic technique. Laparoscopic surgery has lower morbidity and shorter hospitalization than open technique.
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Registered trials
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