Indeterminate 1‐2‐cm nodules found on hepatocellular carcinoma surveillance: Biopsy for all, some, or none?
Korosh Khalili, Tae Kyoung Kim, Hyun‐Jung Jang, Leyla Kochak Yazdi, Maha Guindi, Morris Sherman – 2 December 2011 – In the latest hepatocellular carcinoma (HCC) management guidelines by the American Association for the Study of Liver Diseases, biopsy is advocated for all nodules deemed indeterminate after imaging work‐up by contrast‐enhanced scans. However, the latest guidelines' imaging work‐up algorithm has been shown to improve sensitivity of characterization of HCC for 1‐2‐cm nodules, decreasing the proportion of HCCs that remain indeterminate after imaging work‐up.