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World J Hepatol. Sep 27, 2013; 5(9): 462-469
Published online Sep 27, 2013. doi: 10.4254/wjh.v5.i9.462
Current management of noninfectious hepatic cystic lesions: A review of the literature
Francisco Igor Macedo
Francisco Igor Macedo, Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, United States
Author contributions: Macedo FI solely contributed in all steps of this paper.
Correspondence to: Francisco Igor Macedo, MD, Department of Surgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Rd, Southfield, MI 48075, United States.
Telephone: +1-786-9994754 Fax: +1-786-9994754
Received: June 26, 2013
Revised: August 7, 2013
Accepted: August 16, 2013
Published online: September 27, 2013

Nonparasitic hepatic cysts consist of a heterogeneous group of disorders, which differ in etiology, prevalence, and manifestations. With improving diagnostic techniques, hepatic cysts are becoming more common. Recent advancements in minimally invasive technology created a new Era in the management of hepatic cystic disease. Herein, the most current recommendations for management of noninfectious hepatic cysts are described, thereby discussing differential diagnosis, new therapeutic modalities and outcomes.

Keywords: Simple hepatic cyst, Noninfectious, Polycystic liver disease, Cystadenoma, Cystadenocarcinoma, Caroli’s disease, Sclerotherapy, Fenestration

Core tip: Nonparasitic hepatic cysts consist of a broad spectrum of entities ranging from benign developmental cysts to malignant neoplasms. With recent advancements in diagnostic studies, hepatic cysts are becoming more frequent and better understanding of risk factors, management and long-term outcomes, and further development of current therapeutic modalities are needed.