Objectives
Biliary mucinous cystic neoplasms (BMCNs) are recently redefined rare liver tumours in which insufficient recognition frequently leads to an incorrect initial or delayed diagnosis. A concise review of the subtle, sometimes non-specific, clinical, serologic and radiographic features will allow for a heightened awareness and more comprehensive understanding of these entities.

Invasive biliary mucinous cystic neoplasm: a review

The widespread use of imaging techniques has led to an increased diagnosis of incidental liver tumours. The differential diagnosis is extremely broad since it may range from benign asymptomatic lesions to malignant neoplasms. The correct characterisation of a liver mass has become a diagnostic challenge for most clinicians. They can be divided in two major categories; cystic lesions, usually benign with excellent long-term outcome, and solid lesions, in which malignancy should be excluded. A particular population is those patients with cirrhosis, who have high risk for hepatocellular carcinoma development. Dynamic imaging techniques have a pivotal role in the diagnostic work-up of liver tumours, allowing a confident diagnosis in most cases. If imaging is not conclusive, a biopsy should be requested to obtain a definitive diagnosis.

/pdf/approach-of-the-patient-with-a-liver-mass-4wfe3dysh4.pdf

Approach of the patient with a liver mass

Ultrasonography of the liver

Multiple echogenic liver masses from multifocal nodular steatosis in a 55–year-old male with chronic hepatitis C

Hyperdynamic hemangiomas (HH) are atypical hepatic hemangiomas with an incidence of approximately 16% of all hemangiomas in the liver. We report a case of HH in a 47-year-old woman. Multiphase helical CT scan, MRI appearances and differential diagnoses are discussed.

http://ijbs.org/user/ContentFullText.aspx?VolumeNO=3&StartPage=302&Type=pdf

Atypical small hemangiomas of the liver: hypervascular hemangiomas.

Ultrasound evaluation of patients with hepatic masses should extend beyond basic lesion detection to characterization and clinical management. A systematic approach for hepatic lesion evaluation using ultrasound makes it possible to triage patients and, in many cases, leads to definitive diagnosis that may eliminate the need for additional imaging.

A practical approach to analyzing focal lesions in the liver.

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A practical approach to analyzing focal lesions in the liver.