Differential Diagnosis of the Liver Mass
Pearls and Pitfalls
Currently, most liver masses are asymptomatic and are identified incidentally during survey for chronic liver diseases or other purposes.
Many liver masses occur in cirrhotic livers secondary to chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections.
Abdominal ultrasonography is the most convenient imaging modality to screen patients at risk for liver masses and will differentiate cystic from solid tumors.
Dynamic computed tomography (CT) is recommended to assess the liver tumor and remainder of the abdominal cavity simultaneously.
CT, magnetic resonance imaging (MRI), and angiography can be valuable and complementary in the evaluation of liver masses.
Tumor markers, such as α-fetoprotein (AFP), carcinoembryonic antigen (CEA), and carbohydrate antigen 19-9 (CA19-9), may help to narrow the differential diagnosis.
Positron emission tomography (PET) has not proven useful or cost-effective for differentiating most liver masses....
- Gibbs, JF, Litwin, AM, Kahlenberg, MS (2004) Contemporary management of benign liver tumors. Surg Clin N Am 84: pp. 463-480 CrossRef
- Hammerstingl, RM, Schwarz, W, Vogl, TJ Contrast agents. In: Vogl, TJ, Lencioni, R, Hammerstingl, RM, Bartolozzi, C eds. (2003) Magnetic resonance imaging in liver disease. Georg Thieme Verlag, Stuttgart/New York, pp. 45-91
- Lee, WC, Jeng, LB, Chen, MF (2002) Estimation of prognosis after hepatectomy for hepatocellular carcinoma. Br J Surg 89: pp. 311-316 CrossRef
- Lee, WC, Jeng, LB, Chen, MF (2000) Hepatectomy for hepatitis B-, hepatitis C-, and dual hepatitis B- and C-related hepatocellular carcinoma in Taiwan. J Hepatobiliary Pancreat Surg 7: pp. 265-269 CrossRef
- Yeh, CN, Lee, WC, Chen, MF, Tsay, PK (2003) Predictors of long-term disease-free survival after resection of hepatocellular carcinoma: two decades of experience at Chang-Gung Memorial Hospital. Ann Surg Oncol 10: pp. 916-921 CrossRef
- Differential Diagnosis of the Liver Mass
- Reference Work Title
- General Surgery
- Reference Work Part
- Section 5
- pp 933-940
- Print ISBN
- Online ISBN
- Springer London
- Copyright Holder
- Springer-Verlag London
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- Editor Affiliations
- 1. Department of Surgery, Deputy Director, Comprehensive Cancer Center University of Alabama School of Medicine
- 2. Department of General and Visceral Surgery, University of Heidelberg
- 3. Department of Surgery, University Hospital
- 4. James C. Mason Professor of Surgery Department of Surgery, Mayo Clinic College of Medicine
- 5. Department of Clinical and Surgical Sciences, The University of Edinburgh Royal Infirmary of Edinburgh
- 6. Department of Surgery, The University of Hong Kong Queen Mary Hospital
- Author Affiliations
- 1. Department of General Surgery, Chang-Gung Memorial Hospital and Chang-Gung University Medical School, Taoyuan, Taiwan
- 2. Department of Surgery, Chang-Gung Memorial Hospital, 5, Fu-Hsing Street, Kwei-Shan Hsiang, Taoyuan, Taiwan
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