ACG clinical guideline: the diagnosis and management of focal liver lesions

Am J Gastroenterol. 2014 Sep;109(9):1328-47; quiz 1348. doi: 10.1038/ajg.2014.213. Epub 2014 Aug 19.

Abstract

Focal liver lesions (FLL) have been a common reason for consultation faced by gastroenterologists and hepatologists. The increasing and widespread use of imaging studies has led to an increase in detection of incidental FLL. It is important to consider not only malignant liver lesions, but also benign solid and cystic liver lesions such as hemangioma, focal nodular hyperplasia, hepatocellular adenoma, and hepatic cysts, in the differential diagnosis. In this ACG practice guideline, the authors provide an evidence-based approach to the diagnosis and management of FLL.

Publication types

  • Practice Guideline

MeSH terms

  • Adenoma* / diagnosis
  • Adenoma* / therapy
  • Bile Duct Neoplasms* / diagnosis
  • Bile Duct Neoplasms* / therapy
  • Bile Ducts, Intrahepatic*
  • Carcinoma, Hepatocellular* / diagnosis
  • Carcinoma, Hepatocellular* / therapy
  • Cholangiocarcinoma / diagnosis*
  • Cysts / diagnosis
  • Cysts / therapy
  • Diagnosis, Differential
  • Echinococcosis, Hepatic / diagnosis
  • Echinococcosis, Hepatic / therapy
  • Focal Nodular Hyperplasia* / diagnosis
  • Focal Nodular Hyperplasia* / therapy
  • Hemangioma* / diagnosis
  • Hemangioma* / therapy
  • Humans
  • Incidental Findings
  • Liver Diseases / diagnosis
  • Liver Diseases / therapy
  • Liver Neoplasms* / diagnosis
  • Liver Neoplasms* / secondary
  • Liver Neoplasms* / therapy
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed
  • Ultrasonography

Supplementary concepts

  • Polycystic liver disease