[Therapeutic approach to non-complicated non-parasitic hepatic cysts].

Results of treatment of 378 patients with non-complicated non-parasitic hepatic cysts during the last 15 years are presented. Diagnostics was based on the developed algorithm of diagnostics and treatment of space-occupying lesions of liver. Therapeutic approach to non-parasitic hepatic cysts was defined on the basis of their sizes. At case of small cysts monitoring was carried out. During the period of supervision the authors didn't observe any complications. Increasing of the cyst sices was signed only in 7.94% of cases. Puncture and sclerotherapy under ultrasound control were carried out in medium cysts with 96.70% of efficacy. If the authors didn't deny the parasitic or tumorous nature of liver lesions carry out the surgical treatment, which was also considered to be indicated at case of sizcable enlargement of the non-parasitic hepatic cysts and inefficiency of mini-invasive treatment.

[Focal cirrhosis of the liver].

The experience in treatment of 14 patients with focal cirrhosis of the liver is summarized. Clinical and morphological data is presented. It is noted that clinical picture is poor and non-specific. Ultrasonic examination is the main diagnostic tool. It is demonstrated that histological examination of removed specimen is often necessary for final diagnosis. Method of choice in the treatment of patients is surgical one. The scope of surgery depends on intraoperative features, extended hepatic resection is not usually indicated.

[Rare tumors of the liver and lesions simulating them]. / Redkie ob"emnye porazheniia pecheni i simuliruiushchie ikh obrazovaniia.

Problems of diagnostic and treatment policy in hepatic lesions are considered. Based on analysis of 511 cases, the authors demonstrate that among hepatic lesions as well as widespread diseases (hemangioma, cancers, parasitic and non-parasitic cysts) rare diseases can be also found. Diseases of different organs may simulate hepatic lesions.