12 Sep

Management of polycystic liver disease: CLASSIFICATION (Part 1)

Unlike PCKD, cerebral aneurysms do not appear to be associated with PCLD. Fortunately, despite overwhelming hepatic cyst involvement, hepatic synthetic function remains preserved in almost all cases. Management of PCLD requires consideration of other possible causes of multiple liver cysts because treatment can be markedly different. Other multicystic diseases of the liver include echinococcal (hydatid) cysts, neoplastic liver cysts (cystadenoma and cystadenocarcinoma) and liver metastases with central necrosis (neuroendocrine, colon, pancreas, kidney and ovarian). The combination of clinical presentation, serology, liver ultrasound and computed tomography (CT) scan usually leads to a diagnosis. Occasionally, a liver biopsy is required for definitive diagnosis.

The extent of hepatic cystic disease in PCLD may not correlate with the presence of symptoms. Some patients may develop symptoms from a relatively few large dominant cysts compressing adjacent organs. Other patients may not experience symptoms until there is diffuse cystic disease resulting in extensive hepatomegaly. Management of PCLD requires tailoring specific interventions to hepatic cystic anatomy and symptoms. Currently, there is no universally accepted classification scheme for PCLD. Two schemes have been described based on CT imaging. You can soon shop with a nice pharmacy offering Generic Cialis Professional buy here to benefit more.

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