Solitary necrotic nodules of the liver

Gian Luca Grazi, Alighieri Mazziotti, Salvo Gruttadauria, Elio Jovine, Alfonso Principe, Antonino Cavallari

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An experience is reported with solitary necrotic nodules of the liver, rare benign lesions described for the first time in 1983. Two patients were referred to our department because of the presence of hepatic lesions that radiology showed to be suspected secondary liver tumors. At laparotomy, both patients underwent liver resections because the lesions appeared to be malignant. Subsequent histological examination of the surgical specimens revealed that both were solitary necrotic nodules of the liver. These were the only solitary necrotic nodules found in a total of 840 operations carried out in our department since October 1981. Although they are completely benign, solitary necrotic nodules have a similar ultrasound pattern and radiological features to metastases and have been described in the literature during the follow-up of patients with other tumors. Uncertainty remains as to the etiology of these lesions, which still represent an occasional finding in liver surgery.

Original languageEnglish
Pages (from-to)764-767
Number of pages4
JournalAmerican Surgeon
Issue number8
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Surgery


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