Journal of Gastrointestinal & Digestive System
Open Access

Abstract

One of the main challenges the medical profession is facing is to place all the information that exists in the form and make it an effective instrument to achieve the diagnosis. The application of the principles of moderation can protect doctors and help them make clinical decisions in cases of uncertainty. Lesions found in asymptomatic subjects, do not show specific symptoms attributable to the presence of liver injury. All those tumors arising in liver, with known previous liver disease or those tumors that occur in patients with extrahepatic oncological pathology known, are excluded from this denomination. The availability of ultrasound for the evaluation of non-specific clinical conditions allow us to detect injuries that, in the past, had not been diagnosed. The appearance of an incidental hepatic mass ranges from 10.2% to 52% of cases. Other authors demonstrated an incidence of 10.2% to 14.3% of the CT scan. Currently, there are no evidence-based guidelines regarding the proper approach to diagnosis, interpretation of findings and laboratory images and indication of surgical resection. Lack of controlled prospective trials, with underpowered and randomized decision elective resection of benign lesions of the liver. Many patients with lesions detected, come to us for evaluation with high rates of anxiety regarding possible cancer diagnoses. These basic questions will be gradually responded along with a correct clinical history, prudent selection of complementary studies (imaging, endoscopic and laboratory) and finally, the assessment of the need for a biopsy of the lesion. Liver tumors originating from epithelial tissue or mesenchymal tissue may be solid or cystic both benign or malignant. The most common is described and the diagnosis is made differential. I will describe the indications for biopsy and subsequently the clinical and surgical treatments, according to each pathology.

Biography

Email: Imventarzaoscar@gmail.com