Letters Focal liver lesions

Biopsy is not appropriate for incidentally detected liver lesions

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e2559 (Published 10 April 2012) Cite this as: BMJ 2012;344:e2559
  1. Declan F J Dunne, surgical research fellow1,
  2. Robert P Jones, surgical research fellow1,
  3. Hassan Malik, consultant hepatobiliary surgeon1,
  4. Stephen Fenwick, consultant hepatobiliary surgeon1,
  5. David White, consultant radiologist1,
  6. Graeme Poston, professor of hepatobiliary surgery1
  1. 1Hepatobiliary Surgical Service, Aintree University Hospital NHS Foundation Trust, Liverpool L9 7AL, UK
  1. ddunne{at}nhs.net

Patel and colleagues’ recommendations on liver biopsy for incidentally detected liver lesions are worrying.1 We see up to 10 such newly detected lesions each week in our cancer network hepatobiliary multidisciplinary team. By using high quality computed tomography, magnetic resonance imaging with hepatocyte specific contrast agents, and contrast ultrasound scanning, it has been more than five years since we have …

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