I met a patient earlier.他He said that two years ago, he was diagnosed with a liver tumor by ultrasound, and during his stay in the hospital, he repeatedly urged me not to tell his wife that he had a liver tumor, so that she would not worry about it.

At that time, I frowned straight away and couldn't help but mutter in my mind that I could still live for 2 years with a liver tumor?

Later again perfect ultrasound examination, his so-called "liver tumor" turned out to be liver cysts, and he explained a lot, only to solve the troubled him more than 2 years of worry ......

Hepatic cysts can be clinically categorized into two types, namely, simple choledochal cysts (polycystic), and polycystic liver.

The two diseases require different precautions.

I. Simple liver cysts (polypoid)

Simple hepatic cysts are rare before the age of 40 years and rise sharply after that age, and in terms of incidence, they are more common in women than in men.

This type of liver cysts, which are benign lesions, usually have no obvious clinical symptoms and are only found accidentally during ultrasound or CT examination, and only some large cysts, which cause abdominal pain or abdominal discomfort in patients, are also usually female-dominated.

Simple liver cysts with no symptoms do not require any treatment.

其It is important to note that cysts do not increase in size over time, and that they should be reviewed at least annually; if abdominal symptoms are present, other diseases should be ruled out first, and only lastly considered in the context of liver cysts.Simply because, liver cysts rarely show symptoms!

For treatment, hepatic cyst decapitation and decompression can be done, or ethanol intracystic perfusion can be done.

II. Polycystic liver

polycystic liver as a congenital genetic disorder.Ever since I was a kid.，non-recurrentCombined polycystic kidney。

The disease is dominant, i.e., if one parent has it, the children must have it, and it is present in every child. Following this lead, the disease can be ruled out.

In most patients, liver cysts are small, numerous and asymptomatic and do not require treatment. However, it is important to be careful to review them annually! This is because compared to simple liver cysts, polycystic livers are more likely to grow and show symptoms of abdominal organ compression. For example, in a few patients, huge liver cysts compress the stomach wall, causing symptoms such as bloating after meals and shortness of breath.

In addition to paying attention to the size of liver cysts, extra attention should also be paid to the problem of polycystic kidneys, which appear at the same time, but with the progression of the disease, polycystic kidneys have the potential to cause renal failure, which is more noteworthy!

Summary:

For unexplained liver cysts, it is advisable to go to the hospital for an enhanced CT scan of the liver and consult a hepatobiliary surgeon to better understand your situation. One should not be like the patient I met in the previous article, who was depressed every day until he knew the truth.

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Hello, multiple hepatic cysts are benign liver lesions, i.e. multiple cystic occupations in the liver, usually 3 or more are called multiple. The contents are mostly colorless and transparent fluid. There is almost no possibility of malignant changes.

Generally, if the cysts are small and the patient will not have any symptoms, they can be left untreated and reviewed regularly. If a clear diagnosis has been made, then an ultrasound should be done every six months or so to observe any changes in the cyst.

If the cyst is more than 10cm, surgery is recommended, usually laparoscopic cyst opening can be done, and the surgery is very traumatic. In recent years, some people have begun to perform interventional therapy, that is, color ultrasound-guided percutaneous transhepatic puncture, pumping out the cystic fluid and then injecting anhydrous alcohol to treat liver cysts, but for large liver cysts can not be completely treated at one time, and need to be injected several times.

If the cysts continue to grow, there will be compression of the cysts on the intra-abdominal organs, resulting in compression symptoms. However, in the case of polycystic liver, if the cysts occupy almost the entire liver, liver function abnormalities will occur and eventually liver transplantation may be required. However, in general, polycystic liver cysts rarely affect liver function.

Cysts are asymptomatic in the early stages, but at any time a variety of factors can affect cystic lesions, such as smoking and drinking, diet, and lifestyle habits, or mood, must pay attention to a light diet, control smoking and alcohol. Go for regular checkups to avoid future problems.

Multiple hepatic cysts, which literally means that there is more than one cyst in the liver, are sometimes classified as simple hepatic cysts.Cysts that are not large and have no symptoms or complications do not require treatment.

There is also a type of multiple hepatic cysts, also called polycystic liver, which most often occurs in patients who also have polycystic kidneys. In patients with polycystic kidneys, the incidence of hepatic cysts increases with age, which is related to the development of the internal structure of the liver.

Most polycystic livers are congenital diseases. It is almost impossible to become cancerous and is usually a benign lesion.

Among these patients with polycystic kidneys, the chance of developing polycystic liver is 10 to 20 percent for those younger than 30 years of age;In contrast, patients older than 60 years of age have a 50% to 70% chance of developing polycystic liver.

Polycystic kidneys are an autosomal dominant condition, and in cases where polycystic liver and polycystic kidneys coexist, the correlation between the extent of their pathology is not very strong. That is, although the two conditions usually coexist, theHowever, it is possible that the mechanisms by which the disease occurs are different, and it may be that genetic influences are responsible for this difference.

Patients with multiple liver cysts are usually asymptomatic and generally have normal liver function. However, in some rare cases, patients may develop persistent pain in the right upper abdomen, right upper abdominal distension, or cyst infection. In a small percentage of patients, acute pain due to cyst infection or bleeding can even occur, and rupture or torsion of the cyst may also cause acute severe pain.

For those with significant symptoms, or with large liver cysts, a partial hepatectomy may be attempted to alleviate the patient's symptoms. In a subset of patients, liver transplantation or but combined liver transplantation may be required. For patients with multiple liver cysts who are not candidates for surgery and have intractable pain, percutaneous catheter hepatic artery embolization may be considered.

Currently, there is also a clinical approach to the treatment of polycystic liver cysts with the immunosuppressant sirolimus, and a small number of clinical trials have suggested the ability to reduce the size of polycystic livers. Octreotide and growth inhibitors are able to reduce the accumulation of cystic fluid in the patient's liver.

Most patients with multiple liver cysts that do not require treatment should usually pay attention to regular review, usually every 6 to 12 months is good to be able to observe the dynamic changes of liver cysts, there is no bleeding or infection.

Patients with larger cysts are advised to avoid strenuous exercise and continuous fatigue labor, and not to stay up all night. Pay attention to avoid smoking and drinking alcohol, and keep a good state of mind.

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Multiple liver cysts are a genetic disease, which is simply understood as blisters growing on the liver, and its occurrence is often combined with polycystic kidneys, which is a serious threat to the patient's life and health. Patients with a family history of the disease should take precautions and seek medical attention in a timely manner.

Are multiple liver cysts serious and what do I need to watch out for?

In the early stage of multiple hepatic cysts, there are usually no obvious symptoms, and the course of the disease is relatively slow. For most patients, if the liver cysts do not continue to grow, there will be no serious consequences, and patients should pay attention to regular review. However, for serious cases or those with other complications, it is necessary to be vigilant and to carry out appropriate treatment in a timely manner.

1, The danger of multiple liver cysts:In clinical practice, simple multiple liver cysts generally have a good prognosis, but if the cysts increase in size to a certain degree, they can lead to serious complications and threaten the patient's life.

① Hazards of complications: the continuous enlargement of cysts will affect liver function, induce abdominal distension, right upper abdominal discomfort and vague pain, dyspnea and other symptoms, which may lead to liver insufficiency or liver failure in severe cases. In addition, when the cyst compresses the gastrointestinal organs, there will be anorexia, vomiting, abdominal distension and other symptoms; if it compresses the bile duct, it can lead to obstructive jaundice; if it compresses the portal vein or the small hepatic vein or if the intrahepatic vein thrombosis occurs, it can lead to portal hypertension.

Rupture or bleeding of the cyst can lead to shock and acute abdomen; torsion of a pedunculated cyst can occur, leading to sudden, severe epigastric pain; intracystic infection can lead to chills and fever.

② Hazards of comorbidities: patients with multiple liver cysts are often accompanied by polycystic kidneys, according to statistics, about 1/3 to 1/2 of the patients are accompanied by polycystic kidneys, and polycystic kidneys can lead to renal failure, which can be fatal risk.

2, Precautions for patients with multiple liver cysts:Polycystic liver is often detected during a physical examination and can be a cause for alarm. For patients, the first detection of polycystic liver is not a cause for concern, but it is important to be vigilant.

First of all, patients must pay attention to regular review to monitor the progress of liver cysts in a timely manner, if it is found that the continued growth, or the size has affected liver function, timely treatment should be carried out. At the same time, need to check whether there are other complications such as polycystic kidney. Secondly, in life, patients should pay attention to avoid right intercostal and right upper abdominal collision to prevent cyst rupture. Diet, pay attention to eat less animal fat, fried food and other high-fat, high-calorie food, in order to prevent aggravate the burden on the liver, eat more vegetables, fruits, etc.; abstain from smoking and alcohol, especially during the period of medication must pay attention to the prohibition of alcohol, and at the same time to avoid the intake of greasy, spicy stimulating food; maintain a good state of mind, avoid depression, stress, tension and anxiety and other bad moods; to ensure adequate sleep, avoid staying up too late, overwork and so on.

In clinical practice, we often refer to multiple hepatic cysts as polycystic liver, and it is estimated that about more than 50% or more of patients have renal cysts, hepatic cysts, and a few patients with hepatic cysts have lesions confined to one lobe or hemihepatic area of the liver. Hepatic cysts are usually referred to as nonparasitic liver cysts. The real cause of its pathogenesis is not yet clear, and there is also a clear trend of increasing pathology in the clinic at present. Many people experts believe that it may be related to the importance that patients pay to medical checkups nowadays, as well as to the popularization of diagnostic methods such as ultrasound, CT and other imaging methods.

Many patients are found to have liver cysts during a physical examination, and most multiple cysts of the liver are not serious conditions.

Multiple cysts present in the liver in general usually include two conditions:

The first condition: is an isolated simple polycystic cyst of the liver, usually a relatively small cyst, the exact cause of which is unclear. It is usually not combined with multiple cysts of the kidneys, or polycystic kidneys. For multiple cysts of the liver alone, close observation and regular follow-up usually result in the vast majority of patients being asymptomatic or progression-free for life, and no surgical intervention is required. Only when peripheral hepatic cysts increase in size, causing symptoms of hepatic pericardial pulling, is it considered to perform surgical treatment of hepatic cysts by opening and draining, and usually can obtain the relief of symptoms.

The second condition: one needs to be alerted to the fact that multiple cysts of the liver, or a polycystic liver combined with polycystic kidneys, is a hereditary disease.

Treatment of multiple liver cysts

At present, there is no clinical treatment of liver cyst drugs, and generally do not advocate the use of cysts open drainage treatment of liver cysts. If patients find multiple hepatic cysts are static, and the diameter is relatively small, and there is no obvious change every once in a while, most of these cases do not need too much intervention, and patients can do regular review and observation. If multiple hepatic cysts increase significantly in size over time and cause substantial compression on the liver, and also cause damage to the liver itself, then surgery is usually recommended, and the specific surgical treatment is open drainage of hepatic cysts.

In reality, if it is multiple liver cysts, generally after surgical treatment, the effect is not too ideal, smaller liver cysts will also be easy to grow up after surgery, the current ideal treatment is actually for patients with liver transplantation, but the operation itself is also more difficult.

How long can you live with multiple liver cysts?

This is one of the most important topics of concern for many patients. Multiple hepatic cysts are relatively common clinical liver diseases and are common benign liver lesions that do not affect the patient's life expectancy in most cases.

Liver cysts are one of the more common liver diseases in clinical practice, and usually patients do not have specific clinical symptoms, most patients are only found during physical examination through ultrasound and other tests, and there are manifestations in the images. Multiple hepatic cysts may not be harmful, or they may be harmful, depending on the imaging studies.

If liver cysts are not particularly harmful to the patient's liver, under normal circumstances, the patient can survive and life expectancy will not be affected. If the liver cyst is so big that it presses the liver and causes liver function insufficiency, in this case, certain treatment needs to be given, especially liver failure caused by liver cyst, liver transplantation is needed, and it may even jeopardize the patient's life.

What to look for in multiple liver cysts

Once multiple hepatic cysts are detected, patients should pay attention to their diet, and it is best to stay away from high cholesterol foods. Because multiple hepatic cysts may produce certain pressure symptoms on the neighboring bile duct system, and may also be accompanied by dilatation of the bile ducts. In general, high greasy food or high cholesterol food, it is easier to induce the occurrence of cholecystitis, or cause the emergence of cholestasis, which affects the metabolism and balance of bile pigment and bile acids, and will easily lead to infection.

For patients with liver cysts, if secondary infection occurs, the patient will show obvious fever as well as right upper abdominal pain, and in severe cases, adverse reactions such as infectious shock may also occur. For huge liver cysts with secondary infection, timely surgical resection or incision and drainage is needed to remove the infectious factors, so patients with polycystic liver should pay strict attention to the dietary structure, and by the way, drink plenty of water, do more exercise, and undergo regular review.

Be careful not to drink alcohol, and the main thing is to treat it with herbs.

If it's not too serious now, treat it as soon as possible!

Multiple liver cysts are benign lesions, usually in one or more states. The borders of the cysts are clear, but they are not detectable in the fluid storage sacs, and on physical examination this condition can be distributed in every lobe segment, but only in the liver and gallbladder. The cystic fluid in multiple liver cysts is clarified, and if there is a presence in the cyst, the fluid is reddish in color.So what's going on with multiple liver cysts?

Multiple liver cysts are usually seen more often between the ages of 40 and 50 and are not usually related to the size of the cysts. Multiple hepatic cysts may present with dyspepsia, loss of appetite, nausea, and right upper abdomen. If the infection is secondary, fever or chills may occur. Of course, there are also some huge cysts, which will press on the common bile duct and other places, thus jaundice will occur, and some patients may have abdominal masses.

Multiple liver cysts examination of liver function is generally normal, ultrasound examination of the liver area can be seen more than one fluid security. CT or nuclear scan can also check whether there are multiple liver cysts, in addition to determining whether there are multiple liver cysts have substantial lesions.

Multiple liver cysts are generally benign and do not require special treatment or therapy if there are no serious symptoms. If multiple liver cysts are very large, then ultrasound guidance is needed to puncture the cysts and extract the fluid, but the cysts need to be injected with anhydrous alcohol, which is a safer way to deal with them. Of course, if the multiple liver cysts are large and have pressure symptoms or are accompanied by infections, this situation requires surgical treatment. Now generally choose minimally invasive surgical treatment, that is, through laparoscopic multiple liver cysts open window for drainage, can be said to be the best treatment for multiple liver cysts at present. This method uses a minimally invasive machine and then performs the surgery through an electronic camera system. As a result, the invasiveness is minimal, the recovery is quick, and the after-effects are relatively minor.

In fact, multiple liver cysts are benign lesions, so they do not require treatment if there are no uncomfortable symptoms, but regular checkups are needed to check for enlargement of multiple liver cysts and the presence of lesions. Multiple liver cysts need to be treated only when they reach a certain size, but they cannot be cured.

Patients with multiple hepatic cysts should not do some physical heavy work, especially the abdomen can not be pressed, if pressed, it may lead to multiple hepatic cysts broken, then the harm is very great.

Well, that's all I have to share with you about Multiple Liver Cysts Serious, if you find my talk useful and like my science, you can like and retweet it. If you have questions, you can leave a message below. It is not easy to code, you can also follow me yo.

I don't know what your lifestyle is like and I don't dare to jump to conclusions. Do you usually get gas? And do you pay attention to keeping your lower body warm throughout the year? Do you often stay up late at night, etc.?