Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Gemelli, Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, "Agostino Gemelli", Largo A. Gemelli, 8, Roma 00168, Italy.
Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Gemelli, Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, "Agostino Gemelli", Largo A. Gemelli, 8, Roma 00168, Italy.
Dig Liver Dis. 2022 Dec;54(12):1614-1622. doi: 10.1016/j.dld.2022.08.031. Epub 2022 Sep 8.
Benign liver lesions are increasingly diagnosed in daily clinical practice due to the growing use of imaging techniques for the study of the abdomen in patients who have non-specific symptoms and do not have an increased risk of hepatic malignancy. They include simple or parasitic hepatic cysts and solid benign tumors which differ widely in terms of prevalence, clinical relevance, symptoms and natural history and often lead to significant clinical problems relating to diagnosis and clinical management. Following the need to have updated guidelines on the management of benign focal liver lesions, the Scientific Societies mainly involved in their management have promoted the drafting of a new dedicated document. This document was drawn up according to the present Italian rules and methodologies necessary to produce clinical, diagnostic, and therapeutic guidelines based on evidence. Here we present the second part of the guideline, concerning the diagnosis and clinical management of hemangioma, focal nodular hyperplasia, and hepatocellular adenoma.
由于在非特异性症状且无肝恶性肿瘤风险增加的患者中，腹部影像学检查的应用日益增多，因此在日常临床实践中越来越多地诊断出良性肝病变。这些病变包括单纯性或寄生虫性肝囊肿和实性良性肿瘤，它们在患病率、临床相关性、症状和自然病程方面存在很大差异，常导致与诊断和临床管理相关的重大临床问题。在需要更新关于良性局灶性肝病变管理的指南之后，主要参与这些病变管理的科学学会推动了一份新的专门文件的起草。该文件是根据目前的意大利规则和方法制定的，旨在根据证据制定临床、诊断和治疗指南。在这里，我们呈现指南的第二部分，涉及血管瘤、局灶性结节性增生和肝细胞腺瘤的诊断和临床管理。
