Question:

What is the current effective management for symptomatic simple hepatic cysts (multiple choices)?
1. Open surgical treatment.
2. Laparoscopic fenestration and deroofing.
3. Radiotherapy.
4. Percutaneous aspiration.
5. Percutaneous aspiration combined with sclerotherapy.





Answer:

The correct answers for the question "What is the current effective management for symptomatic simple hepatic cysts (multiple choices)?" are:

2. Laparoscopic fenestration and deroofing.

5. Percutaneous aspiration combined with sclerotherapy.



Explanation
1 - Open surgical treatment [management of these cysts evolved from open surgical to laparoscopic fenestration and deroofing].

2 - Laparoscopic fenestration and deroofing [management of these cysts evolved from open surgical to laparoscopic fenestration and deroofing].

3 - Radiotherapy [management of these cysts evolved from open surgical to laparoscopic fenestration and deroofing, and percutaneously from simple aspiration to a more effective technique using aspiration combined with sclerotherapy].

4 - Percutaneous aspiration [management of these cysts evolved from open surgical to laparoscopic fenestration and deroofing, and percutaneously from simple aspiration to a more effective technique using aspiration combined with sclerotherapy].

5 - Percutaneous aspiration combined with sclerotherapy [management of these cysts evolved from open surgical to laparoscopic fenestration and deroofing, and percutaneously from simple aspiration to a more effective technique using aspiration combined with sclerotherapy].



From the manuscript:
Alcohol sclerosis of a giant liver cyst following failed deroofings
Radiology Case. 2011 Feb; 5(2):19-22


This article belongs to the Interventional section.




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From the manuscript

Alcohol sclerosis of a giant liver cyst following failed deroofings

Free full text article: Alcohol sclerosis of a giant liver cyst following failed deroofings

Abstract
Percutaneous alcohol sclerotherapy for simple liver cysts is an established and safe procedure. We report alcohol ablation of a very large (5.5 liters) liver cyst that had failed laparoscopic deroofing procedures twice. The cyst responded to multisession alcohol sclerotherapy.






References



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2. Gaines PA, Sampson MA. The prevalence and characterization of simple hepatic cysts by ultrasound examination. Br J Radiol 1989; 62:335-337.
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5. Larssen TB, Rosendahl K, Horn A, Jensen DK, Rorvik J. Single-session alcohol sclerotherapy in symptomatic benign hepatic cysts performed with a time of exposure to alcohol of 10 min: initial results. Eur Radiol 2003; 13:2627-2632.
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6. Yang CF, Liang HL, Pan HB, Lin YH, Mok KT, Lo GH. Single session prolonged alcohol-retention sclerotherapy for large hepatic cysts. AJR 2006; 187:940-943.
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7. Gleczer RK, Charboneau JW, Hussain S, Brown DL. Complications of percutaneous ethanol ablation. J Ultrasound Med 1998; 17:531-533.
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