Liver mass classification: Difference between revisions

Jump to navigation Jump to search
Line 4: Line 4:


==Overview==
==Overview==
Liver mass may be classified according to imaging features (hyperechoic vs. hypoechoic), histopathological origin (benign vs. malignant), and distribution (single/focal/solitary vs. multiple).<ref name="benign">Mergo PJ, Ros PR. Benign Lesions of the Liver. In: The Radiologic Clinics of North America, 2, W.B. Saunders, Philadelphia 1998. Vol 36, p.319.</ref>
A liver mass may be classified into several sub-types based on number of nodules, type of histo-pathology, and consistency.


==Classification==
==Classification==
A liver mass may be classified into several sub-types based on number of nodules, type of histo-pathology, and consistency.
A liver mass may be classified into several sub-types based on number of nodules, type of histo-pathology, and consistency.<ref name="benign">Mergo PJ, Ros PR. Benign Lesions of the Liver. In: The Radiologic Clinics of North America, 2, W.B. Saunders, Philadelphia 1998. Vol 36, p.319.</ref>
* Based on the number of nodules diagnosed on imaging liver mass can be classified into 2 types.
* Based on the number of nodules diagnosed on imaging liver mass can be classified into 2 types.
** Solitary nodule
** Solitary nodule

Revision as of 16:34, 31 January 2018

Liver Mass Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differential Diagnosis

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Evaluation of Liver Mass

Staging

History and Symptoms

Physical Examination

Laboratory Studies

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Liver mass classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Liver mass classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Liver mass classification

CDC on Liver mass classification

Liver mass classification in the news

Blogs on Liver mass classification

Directions to Hospitals Treating bone or soft tissue mass

Risk calculators and risk factors for Liver mass classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

A liver mass may be classified into several sub-types based on number of nodules, type of histo-pathology, and consistency.

Classification

A liver mass may be classified into several sub-types based on number of nodules, type of histo-pathology, and consistency.[1]

  • Based on the number of nodules diagnosed on imaging liver mass can be classified into 2 types.
    • Solitary nodule
    • Multiple nodules
  • Based on the type of histo-pathology liver mass can be classified into 2 types.
    • Benign
    • Malignant
  • Based on the consitency of the mass, liver mass can be classified into 2 types.
    • Complex cysts
    • Simple cysts
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liver mass
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Based on number of nodules
 
 
 
 
 
 
 
 
Type of histopathology
 
 
 
 
 
 
 
 
Imaging/consistency
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Solitary
 
 
 
 
 
Multiple
 
Benign
 
 
 
Malignant
 
Simple
 
 
 
 
 
Cystic
 

WHO classification of liver tumors

WHO Classification of Liver Tumors
Benign Tumors Malignant Tumors
Epithelial Hepatocytes
  • Focal nodular hyperplasia
  • Hepatocellular adenoma
  • HCC
  • Fibrolamellar carcinoma
  • Hepatoblastoma
  • Carcinosarcoma
Biliary cells
  • Intrahepatic bileduct adenoma
  • Intrahepatic bileduct cystadenoma
  • Biliary papillomatosis
  • Cystadenocarcinoma
  • Cholangiocarcinoma
Non-Epithelial Mesenchymal
  • Hemangioma
  • Lymphangioma
  • Lymphangiomatosis
  • Angiomyolipoma
  • Infantile Hemangioma
  • Hemangioendothelioma
  • Primary lymphoma
  • Angiosarcoma
  • Epitheloid

Classification of Hepatic cysts

Classification of Hepatic Cysts
  • Simple cysts
  • Multiple cysts arising in the setting of polycystic liver disease (PCLD)
  • Parasitic cysts
  • Cystic tumors
    • Cystadenoma, cystadenocarcinoma, squamous cell carcinoma
  • Abscesses

The table below summarizes the classification of common liver masses according to histopathological origin.

Classification of liver mass
Benign Malignant
  • Hepatic hemangioma
  • Focal nodular hyperplasia
  • Hepatic adenoma
  • Idiopathic noncirrhotic portal hypertension
  • Nodular regenerative hyperplasia
  • Angiolipoma
  • Biliary cystadenoma
  • Regenerative nodules
  • Hepatocellular carcinoma
  • Cholangiocarcinoma
  • Metastatic disease
  • Angiosarcoma
  • Cystadenocarcinoma
  • Primary lymphoma

References

  1. Mergo PJ, Ros PR. Benign Lesions of the Liver. In: The Radiologic Clinics of North America, 2, W.B. Saunders, Philadelphia 1998. Vol 36, p.319.


Template:WikiDoc Sources