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In addition, discrimination of synchronous lesions that have a different nature is also important knowing that up to 25–50% of liver lesions less than 2 cm detected in cancer patients may be benign . US sensitivity for metastases detection varies depending on the examiner's experience and the equipment used and ranges between 40 and 80% .
They may be discovered on medical imaging (even for a different reason than the cancer itself), and the diagnosis is often confirmed with liver biopsy. [2] Signs and symptoms of liver masses vary from being asymptomatic to patients presenting with an abdominal mass, hepatomegaly, abdominal pain, jaundice, or some other liver dysfunction ...
In one series of 302 patients, the three-year survival rates for lesions >5 cm, 2.1 to 5 cm, and ≤2 cm were 59, 74, and 91%, respectively. [66] A large randomized trial comparing surgical resection and RFA for small HCC showed similar four-year survival and less morbidities for patients treated with RFA. [ 67 ]
A cavernous liver hemangioma or hepatic hemangioma is a benign tumor of the liver composed of large vascular spaces lined by monolayer hepatic endothelial cells. It is the most common benign liver tumour, and is usually asymptomatic and diagnosed incidentally on radiological imaging or during laparotomy for other intra-abdominal issues.
Liver function tests (LFTs or LFs), also referred to as a hepatic panel or liver panel, are groups of blood tests that provide information about the state of a patient's liver. [1] These tests include prothrombin time (PT/INR), activated partial thromboplastin time (aPTT), albumin , bilirubin (direct and indirect), and others.
The corpulence index yields valid results even for very short and very tall persons, [7] which is a problem with BMI — for example, an ideal body weight for a person 152.4 cm tall (48 kg) will render BMI of 20.7 and CI of 13.6, while for a person 200 cm tall (99 kg), the BMI will be 24.8, very close to the "overweight" threshold of 25, while ...
In the axial plane, the caudate lobe should normally have a cross-section of less than 0.55 of the rest of the liver. [2] Other ultrasound studies have suggested hepatomegaly as being defined as a longitudinal axis > 15.5 cm at the hepatic midline, or > 16.0 cm at the midclavicular line. [17] [18]
Approximately 2–3% of patients undergoing liver biopsy require hospitalization for the management of an adverse event. [8] [9] Thirty percent of patients experience significant pain during the procedure. [10] Significant bleeding after a liver biopsy occurs in 1–2 out of 100 patients who are biopsied.