BACKGROUND: @entity5 ( @entity5 ) [ @entity9296 ( @entity9296 ) and @entity7157 (BCAC)] warrant complete resection. @entity96 ( @entity96 ) require fenestration when symptomatic. Distinguishing between @entity5 and atypical @entity96 with pre-operative imaging is not well studied. METHODS: All @entity1 undergoing surgery for a pre-operative suspected @entity96 or @entity5 between 1992 and 2014 were included. Peri-operative data were retrospectively reviewed. A blind radiological review of pre-operative imaging was performed. RESULTS: Ninety-four @entity1 underwent fenestration (n  =  54) or complete excision (n  =  40). Final pathology was @entity96 (n  =  74), @entity9296 (n  =  15), BCAC (n  =  2) and other primary @entity5 (n  =  3). A @entity2585 ( @entity2585 ) was performed in 36 @entity1 , impacting management in 10 (27.8%) by avoiding (n  =  1) or mandating a liver resection (n  =  9). Frozen section results were always concordant with final pathology. Upon blind review, a solitary lesion, suspicious intracystic component, septation and biliary dilatation were associated with @entity5 (P  <  0.05). Diagnostic sensitivity was high (87.5-100%) but specificity was poor (43.1-53.4%). The diagnostic value of imaging was most accurate when negative for @entity5 (negative predictive value: 92.5-100%). CONCLUSION: Radiological assessment of @entity99 is relatively inaccurate as @entity96 frequently present with concerning features. In the absence of a strong suspicion of @entity5 , fenestration and @entity2585 should be considered prior to a complete resection.

The accuracy of pre-operative imaging in the management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity96 :: ('MESH:D008113', 'Disease') :: ['Simple liver cysts', 'SLC'] @entity5 :: ('MESH:D009369', 'Disease') :: ['BCT', 'Biliary cystic tumours', 'malignancies', 'malignancy'] @entity2585 :: ('MESH:D002062', 'Disease') :: ['frozen section', 'FS'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic cysts'] @entity9296 :: ('MESH:D003537', 'Disease') :: ['biliary cystadenoma', 'BCA'] @entity7157 :: ('MESH:D003536', 'Disease') :: ['cystadenocarcinoma']
@entity99 :: (MESH:D056486,Disease) :: ['hepatic cysts']
