Solid nodules in the liver with clear borders have a higher probability of being considered benign liver nodules. If patients have no clinical symptoms, they can be closely observed and left untreated for the time being; if they have clinical symptoms, they need to undergo pathological biopsy to clarify the nature of the nodule before determining the next step of the treatment plan, including the application of drugs, radiotherapy, surgery, and so on.
1. Asymptomatic: Generally speaking, the probability of benign nodules is higher in solid nodules with clearer boundaries, while malignant nodules show infiltrative growth with unclear boundaries. Benign intrahepatic nodules have less impact on patients’ health. If patients do not have clinical symptoms, they can be left untreated for the time being and their development can be closely observed.
2. Clinical symptoms: If the patient has clinical symptoms such as right upper abdominal pain, jaundice, fever, etc., it is necessary to carry out pathological tissue biopsy as soon as possible to clarify the nature of the nodule, and then determine the specific treatment plan according to the nature of the nodule.
If the lesion is benign, partial hepatectomy and other ways to remove the tumor can be regular review; if it is malignant, according to the specific type of tumor, partial hepatectomy or segmental hepatectomy, radiation therapy, chemotherapy (cisplatin, fluorouracil, etc.), targeted therapy (sorafenib, lenvatinib, etc.) and other therapeutic options should be taken.
Specifically how to deal with, the patient can go to the hepatobiliary surgery department of the regular hospital, explain their situation with the doctor, with the help of the doctor to carry out the necessary examinations, the doctor will help the patient to formulate a suitable treatment plan.