Hepatic cysts: a survival guide
Matheus Menezes Gomes, Gabriella Aquino Gouveia Cagliari, Eduardo Oliveira Pacheco, Ulysses Santos Torres, Giuseppe D’Ippolito

TL;DR
This review provides a structured overview of hepatic cysts, categorizing them to aid radiologists in diagnosis and management.
Contribution
The paper introduces a five-category classification system for hepatic cysts to improve diagnostic clarity and clinical decision-making.
Findings
Hepatic cysts are commonly misclassified as simple or complex without proper distinction.
A five-category system (congenital, traumatic, neoplastic, inflammatory, and miscellaneous) is proposed for better educational and diagnostic purposes.
Clinical history and imaging are key to accurate diagnosis and management of hepatic cysts.
Abstract
Hepatic cysts are quite common in the daily practice of radiologists and are generally described as simple cysts or as cystic lesions sparsely distributed throughout the parenchyma, often without the discrimination they merit. Simple cysts have, by definition, thin walls, one or two thin septa, and homogeneous fluid content. Such cysts include congenital epithelial cysts, biliary hamartomas, and peribiliary cysts, as well as those representing Caroli’s disease or polycystic liver disease. Complex cysts have variable walls, septa, and contents. They also have various etiologies. A detailed assessment of the clinical history and imaging characteristics can assist in making the diagnosis and choosing a course of clinical management. In this review, hepatic cysts are divided, for educational purposes, into five categories: congenital, traumatic, neoplastic, inflammatory, and miscellaneous.
Genes, proteins, chemicals, diseases, species, mutations and cell lines named across the full text — each resolved to its canonical identifier and authoritative record.
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Taxonomy
TopicsGenetic and Kidney Cyst Diseases · Amoebic Infections and Treatments · Congenital Anomalies and Fetal Surgery
