Hypervascular liver lesions in radiologically normal liver

dc.contributor.authorSouza, Dyego Leandro Bezerra de
dc.contributor.authorAmico, Enio Campos
dc.contributor.authorAlves, José Roberto
dc.contributor.authorSalviano, Fellipe Alexandre Macena
dc.contributor.authorJoão, Samir Assi
dc.contributor.authorIDhttps://orcid.org/0000-0001-8426-3120pt_BR
dc.date.accessioned2023-10-16T17:02:01Z
dc.date.available2023-10-16T17:02:01Z
dc.date.issued2017
dc.description.resumoBackground: The hypervascular liver lesions represent a diagnostic challenge. Aim: To identify risk factors for cancer in patients with non-hemangiomatous hypervascular hepatic lesions in radiologically normal liver. Method: This prospective study included patients with hypervascular liver lesions in radiologically normal liver. The diagnosis was made by biopsy or was presumed on the basis of radiologic stability in follow-up period of one year. Cirrhosis or patients with typical imaging characteristics of haemangioma were excluded. Results: Eightyeight patients were included. The average age was 42.4. The lesions were unique and were between 2-5 cm in size in most cases. Liver biopsy was performed in approximately 1/3 of cases. The lesions were benign or most likely benign in 81.8%, while cancer was diagnosed in 12.5% of cases. Univariate analysis showed that age >45 years (p< 0.001), personal history of cancer (p=0.020), presence of >3 nodules (p=0.003) and elevated alkaline phosphatase (p=0.013) were significant risk factors for cancer. Conclusion: It is safe to observe hypervascular liver lesions in normal liver in patients up to 45 years, normal alanine aminotransaminase, up to three nodules and no personal history of cancer. Lesion biopsies are safe in patients with atypical lesions and define the treatment to be established for most of these patientspt_BR
dc.identifier.citationSOUZA, Dyego Leandro Bezerra de; AMICO, Enio Campos; ALVES, José Roberto; SALVIANO, Fellipe Alexandre Macena; JOÃO, Samir Assi; LIGUORI, Adriano de Araújo Lima. Hypervascular liver lesions in radiologically normal liver. Abcd. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), [S.L.], v. 30, n. 1, p. 21-26, mar. 2017. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/0102-6720201700010007. Disponível em: https://www.scielo.br/j/abcd/a/wR49xbttqRxXTmmBrcBjBLy/?lang=en. Acesso em: 22 set. 2023.pt_BR
dc.identifier.doihttps://doi.org/10.1590/0102-6720201700010007
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/54987
dc.languageenpt_BR
dc.publisherFapUNIFESP (SciELO)pt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectdiagnosispt_BR
dc.subjectliver neoplasmspt_BR
dc.subjectfocal nodular hyperplasiapt_BR
dc.subjectadenomapt_BR
dc.subjectliver cell neoplasmpt_BR
dc.subjectmetastasispt_BR
dc.subjectdiagnósticopt_BR
dc.subjectmetástasept_BR
dc.subjectneoplasias hepáticaspt_BR
dc.subjecthiperplasia nodular focalpt_BR
dc.subjectadenoma hepáticopt_BR
dc.titleHypervascular liver lesions in radiologically normal liverpt_BR
dc.title.alternativeLesão hepática hipervascular em fígado radiologicamente normalpt_BR
dc.typearticlept_BR

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